M3 Track Explanation Form

For the KU Medical School Class of 2018
This form must be submitted by February 5, 2016.

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First Name
Last Name
E-Mail Address

Details:
I wish to be assigned to 4-wk, 6-wk or 8-wk track first in the Fall or Spring semester (be specific, i.e. track and semester) for the following extenuating circumstances:

Extenuating circumstances include personal wedding, pregnancy, delayed entry to 3rd year (be specific). Please also specify if you are engaged or married to a classmate on this campus.  

To submit this information, press this button:

If you have any questions contact me via:
E-mail Laura Zeiger in Kansas City
Phone:(913)588-5290

Last modified: Jan 14, 2016
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