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Genesys Medical Education Application
 
Application Process:

All PGY-1 residency applications are accepted only through ERAS. Visit http://www.myeras.aamc.org to apply

Those applying for PGY-2 and above positions (osteopathic or allopathic), please complete the application below:

NOTE: This application will be accepted beginning July, 2011 for the academic year beginning July, 2013. Thank you for your interest in Genesys Regional Medical Center.

Please provide all the information requested.
Residency Requested Beginning Date: JULY of

Last Name:
First Name:
Middle Initial:
SSN
- -
Current Address
City
State
Zip
E-Mail
Phone
( ) -
 
Medical School
Are you legally able to work in the United States?


If your current address is the same as your permanent address, check the following box, and move to the next section of this application.

Permanent Address

City

State

Zip

Internship Location (Hospital)- for osteopathic applicants:
Completion Date
 
Address:
City:
State:
Postal Code:
 
Have you served as a Resident in any other hospital? (Osteopathic or Allopathic)
Hospital
Program
Date
 
Residency Requested

All Applicants Complete:
Undergraduate Education:
Name & Address of School
Years Attended
Degree
Medical School:
Name & Address of School
Years Attended
Degree

Please complete the following questions.
 
Why are you interested in the specialty or subspecialty you have indicated?
 
Why are you interested in a residency at our hospital?
Please write a short paragraph on your background. Include information on training or relevant experiences that you would like to have considered.

Before you will be considered for an interview, we must have: 

Resident Applicants:

  • The completed application (typed)
  • Two letters of professional reference
  • Letter from medical school Dean’s office sent directly to us
  • Letter from the Director of Medical Education where you served or are serving your internship/PGY-1 or above year
  • Official copy of your medical school transcripts and board scores
  • Curriculum Vitae
**(Orthopedic applicants: Official Undergraduate Transcripts)

Before beginning your residency at Genesys, we require:
  • Copies of your current BLS and ACLS cards.
  • Copy of your internship diploma when received. (If applicable)
  • Copy of current Michigan license.

This information can be mailed to:
Genesys Regional Medical Center
Medical Education - Application
One Genesys Parkway
Grand Blanc, MI 48439
Fax: (810) 606-5990

References:


Please list the names of two references from whom we can expect reference letters.
Name
Organization Affiliation

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