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McLaren Greater Lansing Pre-Application for Elective Rotation Request
Instructions: This is a secure site. Please complete the information below.
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Your Contact Information
Name (Last, First, Middle Initial)
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Zip Code *
Email Address *
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Rotation Information
Elective Rotation Requested *
Anesthesiology
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Board Scores
COMLEX 1
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COMLEX 2
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USMLE 1
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USMLE 2
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If not taken, what date is USMLE 2 scheduled?
Medical School
Institution and Location *
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If so, please explain the circumstances
Why do you want to come to MGL for an Elective Rotation in this Residency?
Undergraduate
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Field of Study *
Degree *
Graduate
Institution and Location *
Field of Study *
Degree *
Do you think that your scores or grades are are a good indication of your academic achievement? *
Please assess yourself as compared to other medical students. *
What does teamwork mean to you? *
Medical School Awards and Honors
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What are your career goals? *
What three qualities do you believe a successful physician (in this specialty) should possess? Please describe your attributes in these areas *
Do you have any ties to Michigan? If yes, please describe below. If none, please enter "none". *
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