College Admissions Form

Visiting Observership Learning Opportunity Program Application
Thank you for your interest in the Visiting Observer Learning Opportunity Program offered through the Mobile Infirmary Internal Medicine Residency Program. This unique educational experience is designed for medical observers seeking to gain valuable exposure to the practice of medicine in the United States. We look forward to supporting your learning journey and helping you gain meaningful insights into U.S. clinical practice.

*Please Note: This program is strictly observational. Medical observers will not have any direct contact with patients or engage in clinical care activities. Hands-on training, diagnosis, treatment, or any form of patient communication is not permitted. Participation in a Visiting Observership Learning Opportunity Program does not guarantee an invitation for a residency program interview. Invitations to interview are provided at the discretion of Mobile Internal Medicine Residency program.
Name

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Birth Date

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Visa Document Type
B1/B2 Visa/EAD Number
Date of B1/B2 Visa/EAD Expiration

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Date
Gender
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School/Rotation Information
Medical School
Graduation Date

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Date
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Please upload the required documentation as listed on the Mobile Infirmary internal Medicine Residency Website under the Visiting Observer Learning Opportunity Program, as it states on the website all documents must be uploaded in (1) PDF Document in the order listed

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Visiting Observership Learning Opportunity Program Application

School/Rotation Information

Desired Observership Period