checklist for international student 10-15-2010
Post on 06-Apr-2018
214 Views
Preview:
TRANSCRIPT
-
8/3/2019 Checklist for International Student 10-15-2010
1/2
CHECKLIST FOR NON-UIC INTERNATIONAL MEDICAL STUDENTS
APPLYING FOR ELECTIVES AND SUB-INTERNSHIPS
AT THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE
UIC APPLICATION FOR CLINICAL EXPERIENCE
Part I completed by the student; and Part II completed, signed by visitor's Dean of Students; and The school seal must appear on each application. (Original document with embossing or
distinctive colored stamp is required) ; and Photograph must be affixed to each application.
ELECTIVE FEE NOT REQUIRED FOR LCME-APPROVEDOR DOMESTIC MEDICALSCHOOLS .
International Students: $300 USD processing fee per elective payable to UIC in the formof a money order, travelers check or cashiers check. If paid by check (check must be drawnfrom a US bank)
Fee waived (IFMSA only)
LETTER OF GOOD STANDING
Letter of good academic standing signed by visitor's Dean of Students; and School seal or distinctive-colored stamp must appear on this letter. (Original document
required)
PREREQUISITE CORE CLERKSHIPS Official Transcript (or letter from the Dean of Students) verifying each core clerkshipand total
weeks/hours completed in each: ___ Medicine ___ Obstetrics/Gynecology ___ Pediatrics ___ Psychiatry ___ Surgery ___ Family Medicine
UIC IMMUNIZATION COMPLIANCE FORM
Form completed, signed and verified by an MD, DO, RN, CANP or PAC; and Copies of immunization records and lab slips supporting the UIC Immunization Compliance
Form.
HEALTH INSURANCE
Specific coverage/benefits provided (i.e. Student's Name, effective dates, group or policynumber, Coverage Limits, Hospitalization, Emergency Care) and, for international
students, Evacuation and Repatriation) certified by:
A copy of personal health insurance card and detailed information on the coverage of benefitsprovided (i.e. coverage limits, hospitalization, emergency care). A booklet or pamphlet fromthe company will suffice -or
Language in a letter from Dean of Students certifying coverage of health insurance while atthe University of Illinois, College of Medicine.
MALPRACTICE INSURANCE
A copy of liability insurance or a letter from the Dean of visitors medical school indicatinglimits of liability not less than $1 million per occurrence and $1 million per policy period.
U.S. CITIZENSHIP / RESIDENCY / VISA STATUS
Proof of U.S. Citizenship (birth certificate and social security card or U.S. passport) or
International Passport (students can come to the US on a B1 visa), whichever applies.
EVALUATION FORMS
Visitors medical school should provide blank evaluation form with instructions for return bymail to appropriate entity-or
Preceptor will use UIC form. When completed it will be returned by mail to appropriate entity.
HIPAA CERTIFICATION
http://www.hipaatraining.com HIPAA certification date (documentation)
11.TOEFL
http://www.hipaatraining.com/http://www.hipaatraining.com/ -
8/3/2019 Checklist for International Student 10-15-2010
2/2
Clickhere for the TOEFL certification at ets.org Courses taught in English need to be verified with a letter from the Dean
***HOUSING & ADDL EXPENSE INFORMATIONVisiting students responsible for supplying short lab coat, nametag, meals, and living arrangements. They pay no tuition or
additional fees. Neither credit cards nor currency will be accepted.Revised 11/13/11 MMH
http://ets.org/portal/site/ets/menuitem.fab2360b1645a1de9b3a0779f1751509/?vgnextoid=69c0197a484f4010VgnVCM10000022f95190RCRD&WT.ac=Redirect_ets.org_toeflhttp://ets.org/portal/site/ets/menuitem.fab2360b1645a1de9b3a0779f1751509/?vgnextoid=69c0197a484f4010VgnVCM10000022f95190RCRD&WT.ac=Redirect_ets.org_toeflhttp://ets.org/portal/site/ets/menuitem.fab2360b1645a1de9b3a0779f1751509/?vgnextoid=69c0197a484f4010VgnVCM10000022f95190RCRD&WT.ac=Redirect_ets.org_toefl
top related