APPLICATION PROCESS FORMS

All Applicants including preceptors:   Please complete the on-line application process at  http://eais.admsrv.ohio.edu/eais/student. See the individual program sites for additional requirements and application due dates.

Supplemental Application for International Rotation - application form required only for independent rotations.

Non-Degree Application - required for all non-Ohio University students, volunteers, advisors or employees.
*The application fee is waived if paperwork is sent directly to the Office of Global Health Programs.
If you do not already have an OHIO e-mail address, you will also need to activate one at https://www.ohio.edu/myid.  You will need the PID Number and date of birth supplied to you in the letter from Admissions after submission of the Non-Degree Application.    

Nonmedical participants:  Send copy of transcripts or diploma.

Licensed health care providers:  Provide a photocopy of your state medical certification/license.

Global Health Syllabus Class of 2013

Global Health Syllabus Class of 2014

Checklist for Independent Rotations

Guidelines for Ethical Practice for International Programs

Malpractice Insurance:

AMPIE Medical Student Application

AMPIE Agreement

Health Insurance:
HTH Worldwide Health Insurance Enrollment

Visa - links to the U.S. Department of State and lists the requirements for entry to the country you are traveling to. There are also links to the appropriate embassy websites.

Embassy registration - links to the U.S. Department of State website in order for you to register. Please remember to print or copy your information before you click submit and send a copy the Office of Global Health Programs.

Confirmation of Embassy Registration

OU Waiver Form - for travel to country with US State Department travel warning, Currently, this includes Kenya.

Preceptor Forms:

Faculty Profile Form

Pre-departure Forms for OU-HCOM Programs

Checklist - general checklist of required documents to aid in your travel preparations

Pre-Departure Packet

Travel tips - tips on preparation, packing, flights, etc for any OU-HCOM Global Health Program

POST PROGRAM FORMS

Evaluation - Complete online evaluation after your return

Independent/IP Int'l Med Health Clinical Site Eval.doc - Independent Clinical Rotation Evaluation to be completed upon your return.

Independent/IP Int'l Med Research Rotation Site Eval.doc - Independent Research Rotation evaluation to be completed upon your return.

  Please return all forms to:

Ohio University Heritage College of Osteopathic Medicine

Office of Global Health

224 Grosvenor Hall

Athens, OH  45701

Email: globalhealth@oucom.ohiou.edu

Phone:  740-593-2359

Fax:  740-593-2320

Please feel free to contact the Office of Global Health if you have any questions.