Please allow at least 60 minutes to complete this application process. Please complete all fields. We recommend keeping a copy of your answers on each page in a Word document on your computer, because your application will not save until it is submitted at the end.

* indicates required responses. Some questions call for descriptive answers. It is to your advantage to provide as full a response as possible.

Be prepared to submit a personal headshot photograph, a letter of recommendation, a $100 non-refundable application fee, a copy of your healthcare profession license (if applicable), and a copy of any undergraduate or graduate school diploma already granted. Current undergraduate or graduate learners must submit proof of enrollment, such as a grade report or transcript.

Complete this section only if you are currently enrolled as a student, resident or fellow. If you are already a practicing professional, please continue to the next section.

Please carefully read the following and signal your acceptance of these terms by checking the box below.

Personal Responsibility: I understand that I am ultimately responsible for all personal financial obligations associated studying with the Institute for International Medicine (INMED), and, if necessary, for securing of academic credit with another educational institution.

INMED Liability Release: I, on behalf of me and all members of my family, in consideration of the benefits to be derived, agree to be responsible for my own actions and hereby voluntarily release INMED, its employees, agents, subsidiaries, its board of Directors and officers, individually and corporately, for any and all causes of action arising in the past or the future, including any claim for injury, damage, or loss which may be sustained during the course of my involvement with INMED and including any claim arising in whole or in part from the negligence of INMED or from any other cause.

Use of Personal Information & Internet: I hereby authorize the release of my name, school, and other pertinent information as appropriate to medical schools, the press, and other entities that have interest in INMED. I also release any pictures and content related to my involvement with INMED that I publish on the INMED blog, on the Internet, or give to the INMED staff. I submit these pictures and content to INMED to be used by INMED in any way they choose, including but not limited to marketing, solicitation, and publication.