4th Year US and Canadian Accredited Medical School Students
Please complete the following:

1. Application for Off-Site Elective Form

2. Visiting Student Immune Status Form

3. Essential Functions Form

4. Criminal Background Check Authorization Form

5. Enclose a $85.00 check payable to RWJMS-UMDNJ for background check

Exception: If a Criminal Background Check has been completed by your school, you can have a copy of the form with the results forwarded to RWJMS-UMDNJ. If forwarding a copy of the form and results is not an option, you may have a letter forwarded from your Dean stating the results were satisfactory for enrollment in your school.

6. A HIPAA Training Packet needs to be completed for all Camden applicants

Please note: Pre-Clinical and 3rd Year students are not eligible to apply for enrollment

1. All forms must be received eight weeks prior to the start of the rotation.  Osteopathic Medical School Students may only apply four weeks prior to the start of the rotation.  

Acceptance into an elective is based upon receipt of the properly completed application forms. If you wish to apply for more than one elective, please use one application form per elective. You do not need to fill out duplicates of the other forms. Use RWJMS course numbers to identify the electives you choose.

The Elective Books are available on the Web at:

2. You must follow our elective block rotation dates.

3. No visiting student may accumulate more than 16 weeks of electives.

2008 - 2009 Elective Blocks                        2009 - 2010 Elective Blocks

If you have any questions or require additional information, contact the Office of the Registrar: 

Foreign Medical School Students and Non-Medical School Students are NOT eligible to apply for enrollment.

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