Admission and Registration Requirements
(Application Form)
Name of participant: ______________________________ Date: ________
1) Application fee is US$ 100 (Non-refundable) and registration is US$ 1, 200 per semester for all H-IMGs1.
2) All participants must be dedicated, informed and punctual to all classes.
3) Support material and reference books are USMLE oriented. Participants must buy and bring their own review books to class.
4) All participants must take a previous USMLE Step 1 Diagnostic Test2 before or during first four (4) weeks of classes and two (2) Self-Assessment Tests at month 2 and 4 of being in the program. The first Diagnostic Test and the two (2) Self-Assessment Exams are mandatory. Please report your results to the program coordinator as soon as taken.
5) A timed general exam of 50 questions will be given to measure progress of all students at the conclusion of each subject. General Exams per Subjects are mandatory.
6) Study Groups (SG) of a Minimum of 3 people is suggested to review questions, to study test-taking strategies and high yield topics. Studies Groups (SG) are highly recommended. Please submit the names of your SG as soon as formed.
7) Participate actively on his or her PSP: Personalized Study Plan.
8) Attend to conferences and participate in community program for health prevention as requested by the sponsors.
9) For Registration requirements please contact Dr. Jorge Piña at (646) 533-7790, Director of the Program. Please bring a copy of the most recent Resume with you.
10) Participants will be suspended from the program indefinitely after 6 absences without valid excuses.
Please sign this agreement and retain a copy for your record.
Thank you and Good Luck on your BOARDS!
Sponsors:
Hispanic Health Professionals Association and Dominican Foundation CULTURARTE of New York .
Address: ____________________________________________________________
_____________________________________________________________________
Medical University Attended: __________________________________________
Participant's Nationality: _____________________ NBME SCORE: ___________
E-Mail: _______________________________ Phone: _______________________
Referred by: ______________________________________
Signature of participant: ___________________________
Approved by: __________________________________ Date: __________
(Signature by a USMLEHISPANICA Authority)
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