F - STEP Into Utah Application

STEP into Utah Application
Demographics
Name*

First NameLast NameCredentials
Email*
example@example.com
Medical School*
Where you graduated from Medical School
Current Residency Program*
Current Residency Year*
PGY 1, 2, 3, etc.
Projected Graduation Date*

MonthDayYear
Date
Pediatric Subspecialty of Interest*
Please Select One
If "Other" please specify which program
Personal Statement
What is your interest in visiting the University of Utah's Pediatric Subspecialty programs and how would this benefit you as a future subspecialist?*

0/1000
Please supply a letter of support from your residency program director that verifies you could travel between April 1st and May 30th for this away/visiting rotation (1 page letter).*

Cancelof
If you visited, would you require housing?*

YesNo
Most rotations allow for a 2-week visiting time period; in order to accommodate your home schedule, please give us your best dates to attend between April 1st to June 1st, 2026.

Pick your top 4 weeks, with your most desired choice as number 1.
March 29 - April 4
April 5 - 11
April 12 - 18
April 19 - 25
April 26 - May 2
May 3 - 9
May 10 - 16
May 17 - 23
May 24 - 30
Should be Empty:

STEP into Utah Application