Elective/Selective Application Form - Northwest School of Medicine

Notification for Registration on E-Portal (NWSM & KMU).

Northwest School of Medicine Newsletter Vol 5, Issue 1, June 2024 (Latest)

Notification: Harassment Committee

Elective/Selective Application Form

Kindly fill in the following information and submit.

Name

Class

Email

Elective/Selective Site

Name of Hospital/Clinic/Site/Facility of Elective/Selective

Location/Address

Elective/Selective in the Discipline of

Name of Elective/Selective Supervisor if known

Email of Elective/Selective Supervisor

Date From

Date To

Total No. of Weeks Planned for Elective/Selective:

Define your Objectives for the intended Elective/Selective:

Educational/Training/Personal Objectives: (Describe how this Elective/Selective will contribute towards your Professional Career Goals)

Educational/Training/Personal Objectives: (Describe how this Elective/Selective will contribute towards your Professional Career Goals)