Supplemental Vsas Application For 4th Year Clinical Elective By A Visiting Student

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Drexel University College of Medicine  
VSAS Required Supplemental Documents 
 
Use this as your face sheet and upload the following as a single document under 
the Supplemental section of VSAS: 
 
Page 1. Face Sheet – indicates documents that must be uploaded to VSAS  
 
Page 2. Drexel University College of Medicine Application Form with section I & II 
completed.  No modifications may be made. 
 
Page 3. Copy of front and back of Health Insurance card 
 
Page 4. Copy of face sheet of malpractice certificate indicating amounts of 
insurance (minimum of $1m/$3m) 
 
Please download the Immunization Form under “Documents” and upload it 
separately. 
 
 
 
 
Student Name:_________________________________________________________
Student ID: ______________________________________(do not use SS#)______
Date: _______________________________________________________________
Preferred Contact Phone Number:__________________________________________
Preferred Contact Email: ________________________________________________
Page 1 of VSAS Supplemental upload

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