Ingles of Como Estagiar em nosso Programa

4) Origin *

Institution *
5) What is your professional category? *
INFORMATION ABOUT INTENDED ELECTIVE INTERNSHIP
6) starting date *

Month day year Date Picker Icon
7) Finishing date *

Month day year Date Picker Icon
8) Family Health Clinic
(Indicate if there is a preference)
9) Responsible preceptor/Tutor
(Indicate if there is a preference)
10) Objectives of Elective Internship *
ELECTIVE INTERNSHIP (Describe what sort of knowledge, skills, and activities you intend toaccomplish with the Elective internship)
11) Activities you would like to carry out
. .
ATTACHMENTS
12) Institution Applicant letter *
(Presentation letter from the residency training programme director, confirming the resident’slink with the institution of origin).
13) Copy of insurance policy / Signed Placement Commitment Term *
(Use the Placement Commitment Term Model).
14) Standard ID Photo for badge *
Should be Empty:

PERSONAL DATA