UVA SOM Application for International Elective
UVA SOM International Elective REQUIREMENTS: All UVA students conducting study, work or research abroad are required to comply with UVA/ISO policy. Electives will not be approved or added to the elective schedule until all requirements are completed.
Complete the ISO Study Abroad Application/Data Health, and Waiver forms.
If you have questions about the ISO forms, please contact:
April Ballard, CGH Stacey Hansen, ISO
Chickering Health/Assist America UVA ID # 812806
Emergency Contacts
Host Country Mentor and Institution
Elective Description
In the field provided, please upload a copy of the acceptance email or letter from your host country mentor.
Additional Information If your research involves human subjects, you must apply for either HIC (Human Investigation Committee) or IRB (Internal Review Board) approval.
Upon return ... please deliver to Student Affairs in the School of Medicine a) on-site mentor evaluation b) trip report
If you also want to apply for funds from the Dean's Center for Global Health Scholar Award in Medicine, please complete the application here.