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Boston University Chobanian & Avedisian School of Medicine: International Student Elective Program

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Sign-Up Form for Peer Advisor Program for International Medical Students

B.U. medical students may use this form to sign up to be peer advisor for an international medical student at BUSM. Once your form is received, you will be contacted by Ana Gregory (anagreg@bu.edu) in the Enrichment Office.

1. Your name*
First Last
2. Your e-mail address*
3. What is your BUSM class year?*
4. When are you available (remotely and in person) to advise an international student? (check all blocks that you are available)*
- No preference for dates
- 6/28/2019 - 7/5/2019 (block 10)
- 7/26/2019 - 8/2/2019 (block 11)
- 8/23/2019 - 8/30/2019 (block 12)
- 9/20/2019 - 9/7/2019 (block 13)
- 10/18/2019 - 10/25/2019 (block 14)
- 11/15/2019 - 11/22/2019 (block 15)
- 12/13/2019 - 12/22/2019 (block 16)
- 1/17/2020 - 1/24/2020 (block 17)
- 2/14/2020 - 2/21/2020 (block 18)
- 3/13/2020 - 3/20/2020(block 19)
- 4/10/2020 - 4/17/2020 (block 20)
The dates above represent the Friday before the start date (of an elective block) until the following Friday (the elective’s first week).
5. How many international students are you able to advise (at one time)?*
- One international student
- Two international students
6. Are you interested in mentoring students from a particular country? Click all that apply or "no preference"*
- Pakistan
- Egypt
- Greece
- Israel
- Taiwan
- I have no preference.
7. Click below to indicate that you understand the following requirement as a peer advisor:*
- I understand I must contact my advisee (via e-mail) one week prior to the start date of his/her elective (see block schedule link below)
> See block dates for 2019-2020

8. Click below to indicate that you understand the following requirement as a peer advisor:*

I understand I must be available remotely and in person for the 8 days listed for the block that I selected. These dates represent the Friday before the start date (of an elective block) until the following Friday (the elective’s first week).

Related to Sign-Up Form for Peer Advisor Program for International Medical Students

International Student Elective Program

Steps to Apply for an Elective
ISEP Application
Document List for Submission
ISEP Document Submissions Center
List of Requirements for International Medical Students
International Student Check-In Form
4th-Year Elective Block Dates
Tuition Payment Form
Housing Resources
Student Guide to BUMC
Student Observership Procedures

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