Women's Health Leadership Initiative Application
Thank you for your interest in the Women's Health Leadership Initiative (WHLI). We are excited that you are considering joining our program. WHLI is a competitive observational experience designed for students pursuing careers in medicine. Please complete the application below. Meeting the minimum eligibility requirements does not guarantee acceptance. Before applying, please review the Program Requirements page on our website. Applications are reviewed on a rolling basis. Selected applicants will be contacted regarding next steps.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
College/University
*
Major
*
Current Academic Status
*
Please Select
Sophomore
Junior
Senior
College Graduate/Gap Year
Accepted Medical Student
Are you currently pursuing a career as a physician (MD/DO)?
*
Please Select
Yes
No
Do you intend to apply to medical school?
*
Please Select
Yes
No
When do you anticipate applying to medical school?
*
Please Select
Upcoming cycle
Within 1-2 years
2 Years
More than 2 Years
Already accepted to medical school
Undecided
Have you reviewed the program requirements on our website?
*
Please Select
Yes
No
Are you able to commit to the full two-week clinical experience if selected?
*
Please Select
Yes
No
Tell us more about yourself: Why do you want to become a physician?
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WHLI is built around mentorship, leadership, and advancing women's health. Describe a leadership experience, service activity, or life experience that has shaped your desire to become a physician.
*
What do you hope to gain from this experience?
*
Please update your CV in PDF, DOC, or DOCX format
*
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Preferred clinical dates (if known)
Please list any preferred clinical dates or months for your experience. We will do our best to accommodate requests but cannot guarantee availability.
Is there anything else you'd like the selection committee to know?
Certification: I certify that the information provided in this application is true and accurate to the best of my knowledge.
*
Please Select
I Agree
Have you read and understand the WHLI Program Requirements including the eligibility criteria and expectations for participation?
*
Please Select
Yes
Submit
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