AMC Form

Personal Info
Your Full Name*

First NameLast Name
Your Email Address*
example@example.com
Your Phone Number*

Country CodePhone Number
Your Citizenship*

Academic Info
Your Graduation Year*
Your University*
Your University Country*

Services
Apply to*

Clinical RotationERAS (Application & Interview)USMLE Step1USMLE Step2 CK
Notes

Clinical Rotation
Number of Rotations*
Select your First Rotation*
Other
First Rotation Type*
First Rotation duration by weeks*
First Rotation start date*

MonthDayYear
Date
Select your Second Rotation*
Other
Second Rotation type*
Second Rotation duration by weeks*
Second Rotation start date*

MonthDayYear
Date
Select your Third Rotation*
Other
Third Rotation type*
Third Rotation duration by weeks*
Third Rotation start date*

MonthDayYear
Date
Select your Fourth Rotation*
Other
Fourth Rotation type*
Fourth Rotation duration by weeks*
Fourth Rotation start date*

MonthDayYear
Date
Select your Fifth Rotation*
Other
Fifth Rotation type*
Fifth Rotation duration by weeks*
Fifth Rotation start date*

MonthDayYear
Date
Select your Sixth Rotation*
Other
Sixth Rotation type*
Sixth Rotation duration by weeks*
Sixth Rotation start date*

MonthDayYear
Date

USMLE Step1
USMLE Step1 course start date*

MonthDayYear
Date
USMLE Step1 duration by weeks*

USMLE Step2 CK
USMLE Step2 CK course start date*

MonthDayYear
Date
USMLE Step2 CK duration by weeks*

ERAS
ERAS start date*

MonthDayYear
Date

Should be Empty: