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    CV Elective Program For International Students

    Uploaded by

    YosafatPrasetyadi
    This document is an application form for an elective program at the School of Medicine at Kobe University. It requests personal information like name, address, emergency contact, education history including university attended and GPA, language proficiency, medical fields studied, formal education, other educational activities, experience, honors/awards/publications, skills, employment history, hobbies/interests, desired dates for the elective program, and top specialty choices with a brief reason for the top 3 choices. The elective program is generally 4 weeks spent rotating through 2 specialties or staying in 1 specialty.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    CV Elective Program For International Students

    Uploaded by

    YosafatPrasetyadi
    75 views5 pages
    This document is an application form for an elective program at the School of Medicine at Kobe University. It requests personal information like name, address, emergency contact, education history including university attended and GPA, language proficiency, medical fields studied, formal education, other educational activities, experience, honors/awards/publications, skills, employment history, hobbies/interests, desired dates for the elective program, and top specialty choices with a brief reason for the top 3 choices. The elective program is generally 4 weeks spent rotating through 2 specialties or staying in 1 specialty.

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    CV Elective Program for International Students.docx

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    This document is an application form for an elective program at the School of Medicine at Kobe University. It requests personal information like name, address, emergency contact, education history including university attended and GPA, language proficiency, medical fields studied, formal education, other educational activities, experience, honors/awards/publications, skills, employment history, hobbies/interests, desired dates for the elective program, and top specialty choices with a brief reason for the top 3 choices. The elective program is generally 4 weeks spent rotating through 2 specialties or staying in 1 specialty.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    75 views5 pages

    CV Elective Program For International Students

    Uploaded by

    YosafatPrasetyadi
    This document is an application form for an elective program at the School of Medicine at Kobe University. It requests personal information like name, address, emergency contact, education history including university attended and GPA, language proficiency, medical fields studied, formal education, other educational activities, experience, honors/awards/publications, skills, employment history, hobbies/interests, desired dates for the elective program, and top specialty choices with a brief reason for the top 3 choices. The elective program is generally 4 weeks spent rotating through 2 specialties or staying in 1 specialty.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    Application to Elective Program

    School of Medicine Kobe University

    Curriculum Vitae
    Name:
    First Middle Family

    Home Address:
    Photo

    Telephone:
    Mobile:
    e-mail address:
    Date of Birth (Month/Date/Year):
    Sex:
    Nationality:
    Person to Notify in case of Emergency

    Name： Relation:

    Telephone:
    Mobile:
    E-mail address:

    Name of University:
    Address:

    (Telephone)

    Year:

    Student ID Number:

    GPA:

    －LANGUAGE

    English : Level : Basic 𐀀 Sufficient 𐀀 Excellent 𐀀

    Japanese: Level : Basic 𐀀 Sufficient 𐀀 Excellent 𐀀

    : Level : Basic 𐀀 Sufficient 𐀀 Excellent 𐀀


    Page 1 / 4
    : Level : Basic 𐀀 Sufficient 𐀀 Excellent 𐀀

    Main Medical Fields Studied:


    studied
    Biochemistry 𐀀
    Biology and Genetics 𐀀
    Histology 𐀀
    Anatomy 𐀀
    Physiology 𐀀
    Microbiology 𐀀
    Immunology 𐀀
    Pharmacology 𐀀
    Pathology 𐀀
    Epidemiology 𐀀
    Internal Medicine :
    Cardiology : 𐀀
    Endocrinology : 𐀀
    Dermatology : 𐀀
    Haematology : 𐀀
    Nephrology : 𐀀
    Infectious Diseases : 𐀀
    Neurology : 𐀀
    Pneumology 𐀀
    Oncology 𐀀
    General Surgery : 𐀀
    Orthopaedics and Traumatology : 𐀀
    Ophthalmology 𐀀
    Othorinolaringoiatric 𐀀
    Obstetrics and Gynaecology : 𐀀
    Paediatrics : 𐀀
    Radiology : 𐀀
    Anaesthesiology and Intensive Care : 𐀀
    Forensic Medicine : 𐀀
    Psychiatry : 𐀀
    Name of
    Others (if you have studied more subjects you do not find on the list above, please fill spaces below and check them) the
    𐀀 tutor/prof
    essor to
    𐀀
    contact for
    𐀀 further
    information:

    Page 2 / 4
    Contact information (tel/e-mail/address) of above Professor/Tutor :

    －FORMAL EDUCATION

    －OTHER EDUCATIONAL ACTIVITIES(Lectures, Conferences, Summer Schools, Medical Courses)

    －EXPERIENCE
    (e.g. Voluntary Work)

    －HONORS AND AWARDS AND PUBLICATIONS

    －OTHER SKILLS
    (e.g. Computer Skills, Laboratory Skills)

    －EMPLOYMENT HISTORY

    Page 3 / 4
    －HOBBIES/INTERESTS

    Signature:

    Date:
    DESIRED DATE OF THE ELECTIVE PROGRAM
    (All electives are 4 weeks in length as a general rule.)

    1st choice From to

    2nd choice From to


    In principle, the length of the elective programs is 4 weeks (Monday to Friday) and students are
    affixed to a senior coordinator in 2 specialties and rotate at each specialty, or in 1 specialty for 4
    weeks. The students show up at ward rounds, out patients, and operation theaters.

    － DESIRED SPECIALTIES AT KOBE UNIVERSITY. Please see the list of specialties and syllabus.
    （From 1st choice to 10th choice ※Please fill in at least 4 choices. The more you fill in, the more you likely you’ll be selected. ）

    1) 6)
    2) 7)
    3) 8)
    4) 9)
    5) 10)

    Please write a brief description why these departments interest you. (from the 1st to the 3rd choices only)
    1.

    2.

    Page 4 / 4
    Name

    3.

    Page 5 / 2

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