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Residency Interview Hosting

Medical & Biological Sciences Alumni Association

To request a host for an upcoming residency interview trip, please fill out the form below and click to submit. An alumni association staff member will email you within 24 hours to confirm your request and update you on alumni availability. All requests must be made no later than two weeks prior to the requested host date. If you have any further questions, please contact the alumni office directly at alumni@bsd.uchicago.edu. Fields marked with an asterisk * are required.

* Indicates required field
* Name (with maiden name, if applicable):
* E-mail:
Phone:
Specialty:
* Institution(s) you are interviewing with on this trip:
* Interview City:
* Interview State:
* Dates you will need a host:
(please include arrival and departure dates)
Special needs:
(allergic to pets, etc.)
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