International Visiting Student Application

International Visiting Student Application
Thank you for your interest in completing an elective at the Icahn School of Medicine at Mount Sinai (ISMMS). All electives open to International Students are listed on our website. Please do not contact the clinical department directly.

Not all students will be accepted for an elective. This is based on multiple factors, including availability and qualifications. Students applying should be able to explain why they are applying for specific electives.

If any portion of the application is not completed or not translated into English, the application will be automatically rejected.

Students will be notified of their acceptance or rejection for an elective by the date listed on the website. We will not respond to emails asking for a status update.

Please refer to our website and review it thoroughly. If you have any questions regarding this application, please email visiting-students@mssm.edu.
First Name*
Last Name*
Email (this will be the email we will use to communicate with you)*
example@example.com
Date of Birth*

MonthDayYear
Date
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country CodeArea CodePhone Number
Citizenship*
Gender*
Please select which school you attend, if none please select the last option.*

Hebrew University Hadassah Medical School (Jerusalem, Israel)Medical School for International Health at the Ben Gurion University of the Negev (Be'er Sheva, Israel)Universidad Francisco de Vitoria, Madrid (Madrid, Spain)Tokyo Women's Medical University (Tokyo, Japan)Fukushima Medical University (Fukushima, Japan)Sackler School of Medicine Tel Aviv UniversityI do not attend any of these schools
isExchange
partnershipSithSchoolsInJapan
Medical School*
Location of Medical School*
City, Country
What date are you graduating from medical school? ONLY STUDENTS ENROLLED IN MEDICAL SCHOOL AND IN THEIR FINAL YEAR AT THE TIME OF THE ELECTIVE ARE ELIGIBLE TO APPLY. *

MonthDayYear
Date
What year of medical school will you be in during the dates you are applying for?*
Eligible students must be in their second to last or final year of medical school if accepted for an elective at ISMMS.
How long is the program you are in?*
When are you graduating medical school?
Select the Core Clerkships you will have completed at the time of your proposed elective. Core Clerkships are CLINICAL ROTATIONS that every student must complete at their home school before they can graduate. (Select all that Apply)*

AnesthesiologyDermatologyEmergency MedicineFamily MedicineInternal MedicineNeurologyObstetrics and GynecologyPediatricsPsychiatryRadiologySurgeryOther

Official School Transcript
Official School Transcript

The Official School Transcript must list all courses you have completed so far in medical school. If the original document is not in English it must be officially translated to English.
Official School Transcript*

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Letter of Good Academic Standing
Letter of Good Academic Standing
This letter must be in English on the school's letterhead with a signature of a school official. The letter must state that you are in good academic standing and must include your expected graduation date.
Letter of Good Academic Standing*

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Letter of Recommendation
Letter of Recommendation

At least 1 letter is required, only 2 will be accepted. These recommendations should be from faculty members who have directly observed your clinical skills and abilities from an inpatient setting. The Letter of Recommendation must be on the official school letterhead and in English.
Letter of Recommendation #1*

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Letter of Recommendation #2 (Optional)

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Curriculum Vitae (CV)
Curriculum Vitae (CV)

The CV is a summary of your qualifications and experience. This should be uploaded in English.
Curriculum Vitae (CV)*

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Biographical Passport Page
Biographical Passport Page

A scan or picture of the biographical passport page must be uploaded.
Biographical Passport Page*

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TOEFL Test Score
TOEFL IBT Test Score

Only students who are from non-English speaking countries AND go to a medical school that does not teach in English are required to submit their TOEFL IBT Test Score. A minimum of 22-30 in each category is required applications to be considered for acceptance. ONLY TOEFL IBT IS ACCEPTED-WE DO NOT ACCEPT ANY OTHER ENGLISH COMPENTENCY EXAM. If you are from an English speaking country and/or go to a medical school that teaches primarily in English, an official letter from the Dean of your school confirming your English Language Proficiency should be submitted instead.
TOEFL Test Score or Letter of English Proficiency*

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Personal Statement of Interest
Personal Statement of Interest

This statement succinctly details your motivations and goals. This is not required but some electives do recommend it.
Personal Statement of Interest (Optional)

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USMLE Step 1 Score Report
USMLE Step 1 Score Report

If you have taken the United States Medical Licensing Examination (USMLE) Step 1 Exam, submit a copy of your score. This is not required but some electives do recommend it.
USMLE Step 1 Score Report (Optional)

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Elective Requests
Elective Requests

In this section you will select the elective(s) you're applying for and the date block. There is no guarantee that you will be accepted for an elective, this is based on qualifications and availability. We only offer electives to be taken during the designated dates below. Students may be accepted for different dates than those they applied to if the original dates are not available. By selecting a date range you are stating that you are available for all four weeks, we do not allow students to complete partial electives.

If applying to take two electives, students can apply for dates in different quarters during any application window, however applications will only be reviewed and decisions will only be sent out on the specific dates for the specific quarters listed below. For example, if you complete your application and submit it in March 2024 for a date range in Quarter 2, you will not receive a decision until August 12.

Applications for each quarter will all be reviewed at once. Submitting an application for a date range early will not give you an advantage.

THE DATES BELOW ARE MM/DD/YYYY

Elective Dates	Application Available	Application Deadline	Student Notification
Quarter 1
07/29/24-08/23/24	3/4/2024-4/1/2024	04/01/2024	05/20/2024
08/26/24-09/20/24
09/23/24-10/18/24
Quarter 2
10/21/24-11/15/24	06/03/2024-07/01/2024	07/01/2024	08/12/2024
11/18/24-12/13/24
Quarter 3
01/6/25-01/31/25	08/26/2024-09/23/2024	09/23/2024	11/04/2024
02/03/25-02/28/25
03/03/25-03/28/25
Quarter 4
03/31/25-04/25/25	11/11/2024-12/09/2024	12/09/2024	01/21/2025
04/28/25-05/23/25
05/26/25-06/20/25

How many electives are you applying for?*

1 (4 weeks)2 (8 weeks)
Elective Date Range

If you are applying for more than one elective please select different, date ranges below.
Elective Date Range # 1*
Elective Date Range # 2*
Comments
Elective Preferences

If you are applying for more than one elective, please select different electives below. Each elective is four weeks and cannot be repeated. Some electives are only offered to students who participate in our exchange programs. The schools who participate in exchange programs are the five schools listed in the beginning of the application, with the exception of Sackler School of Medicine.
Elective Preference #1*
Elective Preference #2*
Please tell us why you are interested in taking the specific elective(s) you've chosen above*
Application Fee
A non-refundable application fee of $500 is required.

If you have trouble completing payment online we also accept Bank Draft, Money Order, Cashier's Check or Traveler's Check which can be sent to Icahn School of Medicine at Mount Sinai

Re: International Visiting Student- Application Fee

One Gustave L. Levy Place, Box 1255

New York, NY 10029
Payment Method*

Credit or Debit CardBank DraftMoney OrderCashier's CheckTraveler's Check

By signing below you are confirming that this is your final application. No changes can be made beyond this point. *

Clear
Should be Empty:

International Visiting Student Application

Official School Transcript

Letter of Good Academic Standing

Letter of Recommendation

Curriculum Vitae (CV)

Biographical Passport Page

TOEFL IBT Test Score

Personal Statement of Interest

USMLE Step 1 Score Report

Elective Requests

Elective Date Range

Elective Preferences

Application Fee