International Visiting Student Application

International Visiting Student Application
Academic Year
Thank you for your interest in completing an elective at the Icahn School of Medicine at Mount Sinai (ISMMS). All electives available to International Students are listed on our website. Please refrain from contacting the clinical department directly, as doing so will result in disqualification from the program.

Admission to elective courses is not guaranteed for all applicants. Selection is based on various factors, including availability and qualifications. Applicants are expected to provide a clear rationale for their choice of 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 review our website thoroughly for detailed information. If you have any questions regarding the application, kindly email visiting-students@mssm.edu.
Legal Name*

First NameMiddle Name (optional)Last Name
Enter name exactly as it appears on your passport.
Legal First Name*
Legal Last Name*
Middle Name
(optional)
Preferred First Name
If different than legal first name
Student Email Address*
example@example.com
ALL COMMUNICATIONS WILL BE SENT TO THE EMAIL ADDRESS PROVIDED ABOVE.
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*

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)
Number
isExchange
partnershipSithSchoolsInJapan
Medical School*
Location of Medical School*
City, Country
Do you attend Sackler School of Medicine Tel Aviv University*

YesNo
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.
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.

File must use the following naming convention: TRANSCRIPT_LAST NAME
Official School Transcript*

File must use the following naming convention: TRANSCRIPT_LAST NAME
Cancelof

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.

File must use the following naming convention: LOG_LAST NAME
Letter of Good Academic Standing*

File must use the following naming convention: LOG_LAST NAME
Cancelof

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.

File must use the following naming convention: LOR1_LAST NAME and LOR2_LAST NAME
Letter of Recommendation #1*

File must use the following naming convention: LOR1_LAST NAME
Cancelof
Letter of Recommendation #2 (Optional)

File must use the following naming convention: LOR2_LAST NAME
Cancelof

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

File must use the following naming convention: CV_LAST NAME
Curriculum Vitae (CV)*

File must use the following naming convention: CV_LAST NAME
Cancelof

TOEFL Test Score
TOEFL IBT Test Score
Students from non-English speaking countries attending medical schools where English is not the primary language of instruction must submit a TOEFL iBT score. A minimum score of 22-30 in each section is required for consideration, and the TOEFL MyBest Score is accepted. Please note, only TOEFL IBT scores are accepted; other English proficiency exams are not. If you are from an English-speaking country or attend a medical school where English is the primary language of instruction, you can instead submit an official letter from your school’s Dean confirming your English proficiency

File must use the following naming convention: TOEFL_LAST NAME
TOEFL Test Score or Letter of English Proficiency

File must use the following naming convention: TOEFL_LAST NAME
Cancelof

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.

File must use the following naming convention: INTEREST_LAST NAME
Personal Statement of Interest (Optional)

File must use the following naming convention: INTEREST_LAST NAME
Cancelof

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.

File must use the following naming convention: USMLE_LAST NAME
USMLE Step 1 Score Report (Optional)

File must use the following naming convention: USMLE_LAST NAME
Cancelof

Elective Requests
Elective Requests
In this section, you will select the elective(s) and date block you are applying for. Acceptance into an elective is not guaranteed and is based on qualifications and availability. Electives are only offered during the designated dates listed below. By selecting a date range, you confirm your availability for the full four-week period, as partial electives are not permitted.

Applications are only open during the specified date windows. Outside these windows, applications will be disabled. Students can only apply for one quarter at a time during the designated application period for that quarter.

If you wish to apply for a different quarter, please see application availabity here.

Available Date Ranges for Quarter 4:
- March 30, 2026 - April 24, 2026
- April 27, 2026 - May 22, 2026
- May 25, 2026 - June 19, 2026
How many electives are you applying for?*

1 (4 weeks)2 (8 weeks)
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.
Elective Preference #1*
Exchange Student - Elective Preference #1*
Elective Date Range # 1*
THE DATES LISTED ARE MM/DD/YYYY
Elective #1: Please tell us why you are interested in taking the specific elective you've chosen above*
Elective Preference #2*
Exchange Student - Elective Preference #2*
Elective Date Range # 2*
THE DATES LISTED ARE MM/DD/YYYY
Elective #2: Please tell us why you are interested in taking the specific elective you've chosen above*
Any additional comments
Application Fee
A non-refundable application fee of $500 is required.
Payment Method*

Credit or Debit Card

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)

TOEFL IBT Test Score

Personal Statement of Interest

USMLE Step 1 Score Report

Elective Requests

Elective Preferences

Application Fee