PACE-MedSpanish.Org

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Thank you for your interest in Medspanish! Our application form is below. Please fill in all relevant fields.

First Name
Last Name
Middle Initial
Address
Phone Number
Email
Classification
If you are a pre-med student, do you have EMT or First Responder certification?
If so, which one?
Do you need CME credits?
Educational History
Do you know any languages? If so, please list names and levels of proficiency
Do you have any international living or travel experience? If so, please explain.
When would you like to arrive? Classes start any Monday, but it is best to arrive the Friday before for an orientation to the town and program. Please enter date in the following format: MM/DD/YYYY
When would you like to leave? We recommend that you stay for at least two weeks.
Is there an area of the program which you are specifically interested in?
Where did you hear about us?
  

Home
About Us
The Program
Tuition and Costs
Activities
Links and Resources
Apply Now!
Contact Us
FAQ