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The Brody School of Medicine
Office of Student Affairs


bsom


 


HOST Student Registration Form

Simply complete the following HOST Registration electronic form, and let us know when and where you will be traveling.

The Office of Student Affairs will then contact alumni in the requested area and find an available host for your specified time frame. We will match you with alumni first by geographic request and second by specialty.

Once a host is identified and notified of the match, we will then share contact information with you. It is up to you to call your host and share the details of your travel and interview arrangements.

After you return from your interview, we ask that you send a thank-you note to the host alumnus/a expressing your gratitude for their hospitality.

Please complete this form for each separate HOST travel request.

Include area code, no hyphens

Include area code, no hyphens

   
   
   
   
   
   
Will your spouse/significant other be accompanying you? (not all hosts are able to accommodate)