Name: *Select Student Name Adams, Mark Ade, Rachel Allensworth, Sumer Allison, Tyler Asfaw, Sofya Ashley, Matthew Avery, Katherine Avila, Amber Barnes, Lindsey Baron, Pamela Barrientos, Earl Berjohn, Catherine Boente, Erin Brenneman, Jennifer Brooks, Justin Bulkley, Andrea Cain, Marcie Carter, Danielle Carter, Junaia Cheema, Asmaa Covington, Aishah Creamer, Jennifer Crowner, Jason Cunningham, Kristopher Dale, Kevin Dawson, Melissa del Castillo, Marco DeLuka, Jennifer Deschler, Deanna Diaz, Teresa Doolittle, Othniel Dueber, Julie Dunlap, Nicole Durham, Rachel Durkin, Rebecca Dye, Lonnie Echeazu, Chinelo Eichinger, Kathleen Ekhomu, Omonigho Falcon, Sarah Fischer, Justin Forte, Kimberly Fraser, Idelle Garcia-Torres, Eric Georger, Keith Gibson, Dennis Gray, Heather Hassan, Hassan Hauslein, David Henry, Justin Hill, Stephen Hlafka, Martha Hollensteiner, Casey Hornick, John Houghton, Adam Huff, Alison Hulsen, John James, Laura Jameson, Travis Jeanmenne, Anthony Jeisy, Richard Johnson, Matthew Johnson, Victoria Jones, Nathan Kaufman, Robert Kaufmann, Brent King, Adam Klostermann, Brian Kohaus, Ashley Kotal, Eric Kreyer, Jeffrey Krohe, Mark Latifi, Mani Laughlin, Heath Lawrance, Christopher Lindorfer, Christi Lockhart, Kerri Luetkemeyer, Luke Luke, Whitney Lynch, Erin Manuat, Charissa McLaughlin, John Milburn, Suzanne Milligan, David Minn, Matthew Moja, Ashley Mompremier, Emerson Morton, Kaitlin Narejko, Anna Neville, Patrick Nuechterlein, Jennifer Obrien, Amanda Okafor, Kanayo Ostrodka, Leanne Parker, Justin Patel, Naitik Patil, Priti Paulauskis, Gina Pedersen, Katrina Peterson, Drew Petrea, Laura Pham, Quoc Pittman, Arica Prange, Jessica Raza, Sania Reidy, Michael Reschke, Carrie Roth, Valerie Rushforth, Neal Sanford, Tifani Sawlaw, Joshua Schleeper, Melissa Shirazi, Jonathan Siatos, Kristen Snyder, Brandon Snyder, Brian Spence, Tisha Spencer, Drew Sriratana, Binjon Stanga, Angela Stanton, George Starnes, Sarah Starwalt, Ashley Steidinger, Trent Steiner, Holly Tanksley, Audrey Tester, Gregory Thomas, Michael Trainor, Briana Turner, Joshua Ufkes, Lacey Valencia, Elizabeth Venatta, Adree Vohra, Sameer Wallace, Adam Walsh, Katie Waters, Kristine Waymack, James Wells, Tabatha Whitehurst, Brandt Wilson, Tiffany Woods, Jeremy Woods, Kendra Woods, Teschlyn zztest Advisor: Database Results Wizard ErrorDescription: No value given for one or more required parameters.Number: -2147217904 (0x80040E10)Source: Microsoft JET Database Engine
Wk# Date
01 July 7, 2008
14 October 6
27 January 5, 2009
40 April 6
02 July 14
15 October 13
28 January 12
41 April 13
03 July 21 (CCX)
16 October 20
29 January 19
42 April 20
04 July 28 (CCX)
17 October 27
30 January 26
43 April 27
05 August 4 (CCX)
18 November 3
31 February 2
44 May 4
06 August 11
19 November 10
32 February 9
45 May 11
07 August 18
20 November 17
33 February 16
Grad (May 16)
08 August 25
21 November 24 (Thanksgiving)
34 February 23
09 September 1
22 December 1
35 March 2 (Doc)
10 September 8
23 December 8
36 March 9 (Doc)
11 September 15
24 December 15
37 March 16 (Match Week)
12 September 22
25 December 22 (Holiday)
38 March 23
13 September 29
26 December 29 (Holiday)
39 March 30
Your Neurology Clerkship rotation has already been selected and other requests will work around that course. Also, in the spaces below, please note any SPECIFIC TIME REQUIREMENTS, i.e. clerkship deferrals/remediations that you have to make up, Pending Off-Campus dates that you are sure of, Individually-Designed and Research Electives, and Vacations. Use the Week # and Date guide above to list time requirements in this space. Do not # these as priorities.
Using the lines provided next to the priority numbers, list IN ORDER OF PRIORITY, not chronological order, those catalog electives you wish to take along with the length of time desired in weeks. (See completed example form copied on pink paper.)
Program Selection (Choose One):
Specialty Pathway Choose Pathway Family & Community Medicine Internal Medicine Obstetrics & Gynecology Pediatrics Psychiatry Population Health Surgery: General Surgery Surgery: Otolaryngology/Head & Neck Surgery Surgery: Orthopedic Surgery Surgery: Plastic Surgery
Undeclared
Activity or Course Title
Start Week
Duration
AM/PM Full time, Extended
4 weeks
Select CCX Week 3 4 5
2 days
35
2 weeks