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School of Medicine

SUMMER ELECTIVE INFORMATION AND REQUEST FOR ENROLLMENT FORM

(Class of 2011 only)

It is your responsibility to make sure that you complete this form on or before April 1 , 2008, so that enrollment and/or financial aid are completed in a timely manner.  The completed form should be submitted electronically by this deadline in order to receive academic elective credit. You must be in good academic standing (2.0 OGPA for Research or Clinical Education electives); 2.5 OGPA for Community Health Project or Medical Education electives; or, as established by the individual program/elective director. A petition for a waiver of this requirement can be submitted to the Associate Dean for Student Affairs. Students who must remediate a course during the summer will not be allowed to enroll in a summer elective.

Financial Aid is available for students who are enrolled for the Summer 2008 session.

Once you have received permission/acceptance to enroll, please complete the form below. Review the listing of course numbers and make sure you enroll in the correct course.

Information for students participating in any elective program at an International site must read the following.

The completed form(s) must contain a written description of the educational experience, the reason for proposing such a program and written indication of faculty or supervisory personnel of their willingness to evaluate the student's performance. Elective credit will be accrued at the rate of two credits for four weeks or four credits for eight weeks. The maximum number of elective credits hours you can obtain over the summer between your first and second year of medical school is four. Please note that an ADD form must be submitted for each course in which you are requesting to be enrolled.

Course listing
  • IDSP 800 – Medical students will be enrolled in this course if they are seeking elective credit for experiences completed during the basic science years.  These courses include, but are not limited to,
    • a research training experience
    • clinical education experience
    • medical education experience
    • an international outreach
    • Philmont Scout Ranch
    • international research
    • Pre-matriculation program facilitator
    • A listing of non-KUMC sponsored opportunities
  • FAPR 905 - Rural Primary Care Practice and Research - Course Director, Dr. Allen Greiner
  • HPMD 909 - Clendening Fellowship - Course Director, Dr. Martha Montello
  • MED 925 - Community Health Project - Course Director, Dr. Cheryl Gibson
First Name
Last Name
KUID
Email
Course Number   Example: IDSP 800
Credit Hours   2 OR 4
Beginning Date  Format: dd/mm/yy
Ending Date   Format: dd/mm/yy 
Location
KUMC, VAMC, Other (Hospital, City, State)
Full name of supervisor/evaluator
Supervisor/evaluator's telephone number
Fax # of supervisor/evaluator (optional)
Email address supervisor/evaluator