Extern Application

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Rehabilitation Institute of Chicago
2008 Summer Extern Application
June 16 - August 8, 2008

Any questions? Please call (312) 238-2870 or email Diane Ross ( dross@ric.org)

This program is open only to students between the first and second year of medical school.
(REQUIRED): Please create a "Word" document and E-MAIL it to Ms. Diane Ross that contains both your personal statement and curriculum vitae. Include in personal statement: 1) your personal goals; 2) why you are applying for this externship; and 3) what you hope to gain from this experience.) Again, please electronically mail all "Required" information to Ms. Diane Ross at dross@ric.org.

Deadline for receipt of applications is March 7, 2008

PLEASE NOTE: If your school's academic year starts before our Summer Externship ends, you may still be eligible for this program.

Personal Information
Name «
E-mail «
Phone Number «
Mailing Address Line 1 «
Address Line 2
City «
State «
Zipcode «
Country «
Your Medical School
Medical School Name «
Medical School City/State «
Medical School Start Date « you may still be able to apply even if your start date is later.
Questions
How did you hear about summer externships at RIC? «
What type of summer externship experience are you seeking? «
IMPORTANT: PLEASE BE SURE TO EMAIL YOUR CV AND PERSONAL STATEMENT TO DIANE ROSS ONCE YOU SUBMIT THIS FORM
Fields marked with "«" are required.