BRIDGE Program Application

BRIDGE to Residency Program Application
Today's date*

MonthDayYear
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Specialty (1st choice)*
Subspecialty*
Specialty (additional 2-3 choices in case 1st option isn't available)*
Preferred Start Date

MonthDayYear
Funding Source
I have completed:

USMLE Step 1USMLE Step 2 Clinical Skills (CS)USMLE Step 2 Clinical Knowledge (CK)All and I am ECFMG-certifiedNone/Other Exams (please detail in comment box below)
Comments
Upload Your C.V.*

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Upload School Transcripts*

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Scanned Copy of Your Passport's photo page*

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Upload 3 Letters of Recommendation

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Upload USMLE scores

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Are you affiliated with or employed by any institution in your home country? (i.e. University, hospital, medical city, ministry, military/defense, etc?)*
If YES, please specify:
Please upload a brief Personal Statement as part of your online application.

In approximately 150 words, please share a brief paragraph addressing the following:

1. Anticipated benefits of the Bridge to Residency Program toward your career goals, both short-term and long-term. What do you hope to achieve in this program? Please be as specific as possible.

2. What are your personal strengths? What are the professional skills you are hoping to advance or improve through the Bridge Program?

3. Describe why this program is best suited for you at this time and any experiences you have had in your field of interest that highlight your qualifications as an applicant.

Note: Personal statements that do not attempt to address the above or are too brief or irrelevant, will not be considered.
Upload Personal Statement (approximately 150 words)*

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Upload Funding Support Documents

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In addition to uploading your Financial Support documents: If you are a sponsored applicant, please provide the Name, Phone Number and E-mail contact information of your institution's Director of Scholarship in the fields below:
Full Name*

First NameLast Name
Title
Funding Institution/Hospital
(If applicable)
E-mail*
Phone Number*

Area CodePhone Number
How did you learn about the program:
Enter the message as it's shown*
Questions? Contact Us

UC San Diego Health Sciences International

E-mail: hsinternational@ucsd.edu | Phone: +1 (858) 534-6204 | Web: hsi.ucsd.edu
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BRIDGE to Residency Program Application