Apply Online – Community Elective Program – Ontario Rheumatology Association

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

Province *

Postal Code *

Phone Number *

Email

Current University *

Student Number *

Community Elective Rotation Information - Preferred Date Range START *

Suggested duration: 4 weeks

Community Elective Rotation Information - Preferred Date Range END *

Suggested duration: 4 weeks

First Choice Location Preference *

Preceptors' bios and clinic locations can be reviewed online at https://ontariorheum.ca/rheumcareers

Second Choice Location Preference *

Preceptors' bios and clinic locations can be reviewed online at https://ontariorheum.ca/rheumcareers

Third Choice Location Preference? *

Preceptors' bios and clinic locations can be reviewed online at https://ontariorheum.ca/rheumcareers

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Apply Online – Community Elective Program