Online Volunteer Application
Whitetulip Health Foundation
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
How would you like to help an applicant? Please check all that applies.
Personal Statement Editing
ERAS CV (common application form-CAF) editing
Mock Interview Practice
Being a mentor to applicant(s) (Guiding the applicant(s) throughout the Match season -from June to March- including document preparation, preparing ERAS CV, preparing for the season etc. )
Other (please explain)
Your specialty (Please write whichever specialty you would like to provide mentorship like Internal Medicine, Pathology etc. If you have 2 specialties, please write both)
*
Are you willing to refer an applicant to a program that you trained with/know/currently in practice?
Yes
No
Please write the name of the program and specialty that you would like to refer.
How many applicants in total would you refer to for this program?
Please specify if there is any required/preferred qualities of an applicant (e.g. minimum required step 1 score, step 2 CK score, research experience, elective in the USA, step 3 pass status, visa status, years after graduation)
If you are willing to refer to more than one program, please write the names of the programs and the number of applicants (Example- Cleveland clinic pediatrics- 2 applicants, SUNY Downstate pediatrics-1 applicant, etc.)
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