Graduate Medical Education: Application for Off-Site "Away" Elective Rotation

Residents desiring to complete an away rotation must complete this form as early as possible. The Office of Graduate Medical Education will notify the resident regarding the outcome of the request.

Your submission of this form constitutes your agreement to the information stated here. Upon submission, your program director will be emailed a notification to complete their verification of this information. Requests cannot be processed without program director validation; please work with your director to ensure they complete the next step.