Clerkships are available for current MSIV or OMSIV students who attend US medical schools. We are unable to offer rotations for IMGs.
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Full Name *
Phone number
Email Address *
Requested Clerkship beginning and ending dates (We accept students Aug-Jan. Other months are allowed upon a case by case exception) *
Medical school name with city/state *
Expected graduation month/year *
Your score(s) on each Step of the boards you’ve completed and number of attempts needed to pass (we accept both USMLE and COMLEX scores) *
How did you hear about In His Image
Describe your background, aspirations and why you are applying to In His Image
Area of Medical Interest (mark one or two that you want to explore)
Do you plan to apply to In His Image for the upcoming MATCH?
Briefly describe your spiritual journey and include some of your faith-based activities or experiences
Name of your current place of worship
Name and phone number of a leader at your worship center who could give us a recommendation about you
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