Application Materials Notification Form
This form is to register for Clinica Tepati's Spring 2021 application information. Applicants who complete this form will be emailed the required application information when it is available on March 29th. This is not the application. Please keep your eye out for notifications in your email. Applicants are expected to complete the written application by April 5th ( and attend the zoom informational on April 5th at 6 pm ( to be considered for the next steps in the process. If you have any questions please email our Secretary at
Email address *
Name (As will appear on written application) *
Student ID Number *
Phone Number (optional)
Don't forget to attend our Mandatory Informational Session on April 5 at 6pm and to submit your application by April 5 at 11:59! Applications will be open on March 29! Application Link: (
Topic: Clinica Tepati Informational
Time: Apr 5, 2021 05:30 PM Pacific Time (US and Canada)

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Meeting ID: 496 441 7316

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Meeting ID: 496 441 7316
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