2025-26 Student Handbook Ack Form (D.O.)

2025-2026 Doctor of Osteopathic Medicine Student Handbook Acknowledgement Form and Quiz
There are two sections to complete this task. Please make sure you access and review the UIWSOM Doctor of Osteopathic Medicine Student Handbook on the UIWSOM Current Students Page prior to completing the acknowledgement form and quiz.
1. Acknowledgment Form
2. Quiz
  - There are 10 total questions.
  - This is an open book quiz, so feel free to reference the Student Handbook.
  - You will not be able to view the next question until the previous one is answered correctly.
  - Upon completing the quiz, you will receive instructions on downloading the PDF document that confirms you completed the acknowledgement form and quiz. You must upload the document to Sentry MD to be marked compliant with the Student Handbook Acknowledgement Form requirement.

2025-2026 Doctor of Osteopathic Medicine Student Handbook Acknowledgement Form

(The student handbook is accessible at all times via the UIWSOM website at: https://osteopathic-medicine.uiw.edu/current-students/index.html)
First Name*
Last Name*
UIW Identification Number*
UIW Email Address*

Confirmation Email
Select UIWSOM Program*

DO
I acknowledge that I have received a copy of the 2025/2026 Doctor of Osteopathic Medicine Student Handbook and that I am aware that the handbook is accessible at all times via the UIWSOM website at: https://osteopathic-medicine.uiw.edu/current-students/index.html*

Yes
I acknowledge that I have read and familiarized myself with the contents of the University of the Incarnate Word School of Osteopathic Medicine Doctor of Osteopathic Medicine Student Handbook.*

Yes
By signing this statement with an electronic signature, I agree to abide by all the regulations, policies, and procedures of the University of the Incarnate Word School of Osteopathic Medicine, including by reference or hyperlink, and any amendments that may occur. By typing my legal name, I am signing this form electronically. I agree my electronic signature is the legal equivalent of my manual signature on this form.*

I agree
Type Full Legal Name*
Signature*

Clear
Date form was electronically signed and submitted*

YearMonthDay
Date
Hour MinutesAM/PM Option

Student Handbook Quiz: Question 1
Q1: What is the deadline to ensure student program health requirements are in compliance?*

the start of each academic yearthe start of each unit/rotationRecords must be compliant at all times

Q1: Not answered or incorrect. Please click the "Back to Question 1" button to try again.

The next question will not become visible until Q1 is answered correctly.
Q1: Correct!
Student Handbook Quiz: Question 2
Q2: To request accommodations a student must:*

Submit a request and supporting documentation to the Office of Student Disability Services (SDS)Submit a request and supporting documentation to the Office of Student Affairs (OSA)Submit a request and supporting documentation to the Office of Academic Support (OAS)

Q2: Not answered or incorrect. Please click the "Back to Question 2" button to try again.

The next question will not become visible until Q2 is answered correctly.
Q2: Correct!
Student Handbook Quiz: Question 3
Q3: A student is in satisfactory standing if at the time of the request:*

All completed coursework has a final grade of P, PR, or HAll ACLS, PALS, BLS certification deadlines have been metAll program standards for health assessments, immunization status, and other requirements as determined by OSA have been metThere are no unresolved issues related to professionalismAll of the aforementioned requirements are met

Q3: Not answered or incorrect. Please click the "Back to Question 3" button to try again.

The next question will not become visible until Q3 is answered correctly.
Q3: Correct!
Student Handbook Quiz: Question 4
Q4: A student must not exceed ____ absences from singular unit or rotation.*

FiveThreeTwoSeven

Q4: Not answered or incorrect. Please click the "Back to Question 4" button to try again.

The next question will not become visible until Q4 is answered correctly.
Q4: Correct!
Student Handbook Quiz: Question 5
Q5: When must a short-term absence be reported to the Elentra platform?*

When the absence limit it reachedWhen the absence includes consecutive daysAnytime an absence is taken

Q5: Not answered or incorrect. Please click the "Back to Question 5" button to try again.

The next question will not become visible until Q5 is answered correctly.
Q5: Correct!
Student Handbook Quiz: Question 6
Q6: An absence is considered approved:*

When the request is submittedWhen an affirmative response is received from OSAWhen an affirmative response is received from the session facilitator or administrator

Q6: Not answered or incorrect. Please click the "Back to Question 6" button to try again.

The next question will not become visible until Q6 is answered correctly.
Q6: Correct!
Student Handbook Quiz: Question 7
Q7: How does a student start the process to petition the SPC?*

All petition processes begin with the SPC chairAll petition processes being with members of the SPCAll petition processes begin with the OSAAll petition processes begin withe the Dean of UIWSOM

Q7: Not answered or incorrect. Please click the "Back to Question 7" button to try again.

The next question will not become visible until Q7 is answered correctly.
Q7: Correct!
Student Handbook Quiz: Question 8
Q8: Which of the following is NOT an applicable petition to the SPC?*

Requesting relief from a decision or action required by the student handbookTo challenge or appeal a gradeTo challenge unfair conductTo contest a decision that is permitted by the student handbook

Q8: Not answered or incorrect. Please click the "Back to Question 8" button to try again.

The next question will not become visible until Q8 is answered correctly.
Q8: Correct!
Student Handbook Quiz: Question 9
Q9: How can a student report a general concern?*

The Maxient Reporting FormThe Conduct Review BoardThrough the Office of Student AffairsAll of these answers are correct

Q9: Not answered or incorrect. Please click the "Back to Question 9" button to try again.

The next question will not become visible until Q9 is answered correctly.
Q9: Correct!
Student Handbook Quiz: Question 10
Q10: What is the official method of communication between campus administrative offices and students?*

In-person meetingsCardinal MailGroupMeGmailTelephone

Q10: Not answered or incorrect. Please click the "Back to Question 10" button to try again.
Q10: Correct!

Click "Next" to proceed.

You have one or more questions that are either unanswered or incorrect. Please use the "Back to Question" buttons to go back through and fix missing or incorrect answers.

All questions were answered correctly. Click "submit" to access document needed to upload to Sentry MD.
Should be Empty:

Student Handbook Quiz: Question 1