Sarnia Clerkship Application Form

To apply for the Sarnia Clerkship, please complete the form below and upload a current CV in pdf format.

Fields denoted by an asterisk (*) are required.

Basic Information
Name Name First Last
Email
Campus

Campus London Windsor
Preferred phone number: Preferred phone number: - ### - ### ####
Student Number
Where did you hear about the Sarnia Clerkship? (Select all that apply)

Where did you hear about the Sarnia Clerkship? (Select all that apply) Word of mouth Student group Distributed Education Information Session Newsletter or article Email Social media Sarnia Community and Hospital Tour Other Other
Attachments
Please attach a current CV in pdf format

Attach Files
Brief Essay Questions – please answer the following questions in 300 words or fewer
Why are you interested in the Sarnia Clerkship?
Maximum of 300 words allowed. Currently Entered: 0 words.
What are your career interests and long-term goals? How will the Sarnia Clerkship support your goals?
Maximum of 300 words allowed. Currently Entered: 0 words.
What experiences, skills, and/or interests do you have that would contribute to a successful clerkship in Sarnia?
Maximum of 300 words allowed. Currently Entered: 0 words.

Sarnia Clerkship Application Form

Sarnia Clerkship Application Form

Basic Information

Attachments

Brief Essay Questions – please answer the following questions in 300 words or fewer