ACE Application for US Medical Rotation

Name *

First Name

Last Name

Phone

Please add your phone number and country code. DO NOT USE "+" SYMBOL

Country

(###)

###

####

Desired Locations

(Unselected / don't wish to answer)

I am okay with any city as long as the rotation/doctor/LOR are excelent

I prefer larger cities only

West Coast

South

East Coast

Central US

New York City

Houston

Chicago

Washington D.C. / Baltimore

Los Angeles

Texas

California

Florida

New Jersey

North Carolina

I have family somewhere and would like to stay in that area

Undecided

1st Priority

Best LOR Possible

Best Teaching Possible

Lowest Cost Possible

Easiest / Most Flexible Rotation

2nd Priority

Best LOR Possible

Best Teaching Possible

Lowest Cost Possible

Easiest / Most Flexible Rotation

Do you already have a visa for travel?

Yes, I have a visa

No, I need to apply for a visa

I can travel without a visa

Actually, I am in the US already

Other