Fill out the form below to help us match you with an accommodating site. Please remember to click the submit button when completed.
Note that we will do our best to accommodate all students but given the number of placements, we are not always able to fulfill requests.
Are you fluent or medically competent in a language other than English?
Do you have strong preferences as far as the type of site you would like to be placed with?
Will you be in a traditional third year curriculum?
If not, please explain as much as possible (splitting year, deferring a block, etc.) as well as the reason for modification:
To follow up on this form, contact Florence Laforest at Florence.Laforest@bmc.org.