UH St. John Medical Education

Visit the Research & Education Institute

Externship Application for Elective Rotations at UH St. John

If you are experiencing issues with this form and do not receive a Thank You page, please submit your application to Sarah.Majkrzak@Uhhospitals.org.

Application Process

Directions: Please be sure to thoroughly read and complete every section of this application. Do not submit this application to University Hospitals St. John Medical Center until all of the listed application materials have been secured for submission. Once you have all of the application materials, please submit your application via this webpage. Incomplete applications will not be processed.

Acting Internships are reserved for students that intend to apply to a UH St. John Medical Center residency program. Acting Internships are limited, please submit your request early. Applications must be received a minimum of 60 days prior to your requested rotation date. If your application is accepted, you will be responsible to return all additional paperwork sent with your acceptance letter no later than 30 days prior to your start date. Failure to meet this deadline will result in your acceptance being revoked.

Elective rotations will be considered once all Acting Internships slots have been scheduled and filled. Students may submit requests for up to five (5) rotations with the University Hospitals Community Consortium. This includes UH Parma Medical Center, UH Geauga Medical Center, and UH St. John Medical Center.

Rotations may be 2 or 4 weeks (preferred) in duration. Family Medicine rotations will be offered in 2-week blocks. Please be sure you are entering the correct dates for the rotation which you are applying. Specified start and end dates must be entered on the application. For example, do not enter a broad range such as 2/1/27 to 6/1/27. Applications without the necessary specified 2- or 4-week block dates will not be processed.

Applications will begin to be reviewed on February 1st unless otherwise specified. All applications will be evaluated in the order in which they are received. All decision letters will be sent via email to the address provided on your application. Please allow a minimum of 14 business days from the program review date before contacting the student coordinator for a response. Once your completed application is approved and you are notified by UH St. John Medical Education Department, you will have 1 week to accept the rotation. Once accepted, the dropping of the rotation should only be done in extreme circumstances. If such circumstances should occur, please contact Sarah.Majkrzak@Uhhospitals.org.

First Name:*

Middle Initial:

Last Name:*

Address:*

City:*

State:*

Zip :*

Phone:*

Email*

Medical School Name:*

City:*

State:*

Degree:*

Anticipated Graduation Date:*

I have rotated previously at UH SJMC

Locations and dates of previous UH SJMC Rotation:

This is my FIRST UH SJMC rotation

I have rotated previously at UH Cleveland Medical Center or another UH location

Locations and dates of previous UH rotation:

First Choice Specialty:*

Rotation Type:*

Start Dates:*

End Dates:*

Second Choice Specialty:

Rotation Type:

Start Dates:

End Dates:

Application materials MUST be a PDF file and no more than 5MB in file size. Please include your name in the filename or application will not be processed.

Upload File

Should you accept a rotation offer, University Hospitals St. John Medical Center requires a letter of good standing, proof of malpractice and health insurance, and verification of current immunizations be sent directly from your school official. This information must be on file no later than four (4) weeks prior to the start of the rotation(s). We reserve the right to cancel your rotation if this information is not received.

I understand that UH St. John Medical Center assumes no liability for any medical costs incurred by me while I am participating in an elective at UH St. John Medical Center. I agree to notify UH St. John Medical Center at least 30 days in advance if I am unable to take this elective. I understand that confirmation of acceptance into any elective cannot be given until UH St. John Medical Center has notified me.

At this time we are unable to accept medical students outside of the United States.

The items listed below must be submitted along with this application. Please send as one PDF and include your last name in the filename. Incomplete applications will not be processed. Please do not send additional materials, such as immunization records, at the time of application. Please send only the materials listed below.

Copy of USMLE or COMLEX Step 1 score report
Copy of USMLE Step 2CK or COMLEX Step 2CE score report (if not available, please indicate date of exam)
Copy of COMLEX or USMLE transcripts showing all exam attempts. The transcript is separate from the score report. This must be the official transcript that displays all exam attempts. Screenshots of the “My Account” page or “My Exam” page will not be accepted.
Unofficial transcript from your medical school
Copy of current (i.e. unexpired) ACLS card
Letter of good standing from school
Current CV

Your Signature:*

Date:*

Please enter in the Captcha below

I'm not a robot