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Masters Degree Application
Masters Degree Application
Masters Degree Application
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Master's Degree in International Health Application
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Application Instructions
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 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.
Name
*
First
Last
Credentials
Email Address
*
*must NOT be an .edu address
Alternative Email Address
*
Mobile Phone
*
Please include country code.
Home Phone
*
Please include country code.
Contact Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
Is your home address the same as your contact address?
*
Yes
No
Hidden
Home Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
Demographic Information
INMED will not discriminate on the following information. This will be for institutional record keeping purposes only.
You are Currently:
*
a Student
Working Full-Time
Working Part-Time
Retired
Unemployed
Professional Classification
*
Date of Birth
*
MM slash DD slash YYYY
Place of Birth
*
Nationality 1
*
Nationality 2
Is English Your Primary Language?
*
Yes
No
How Did You Hear About Us?
*
Email Announcement
Google
Facebook
LinkedIn
Other online search
Invitation from friend or colleague
Announcement from my school
Announcement from my employer
I am a past INMED participant
Academic Information
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.
Academic Institution Name
Year of Training (ie: "Third Year Resident Physician")
Institution Mailing Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
School/Program Phone Number
Academic Coordinator's Name
Academic Coordinator's Email
Academic Coordinator's Phone Number
International Health Background Questions
What is your motivation for studying international health
*
What are your long-term career plans?
*
In which healthcare fields are you most interested?
*
Describe any prior international experiences:
*
Describe any foreign language skills you may possess:
*
Do you have any physical illness or mental condition, including depression, for which international travel may place you in jeopardy?
*
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I have fully read the conditions of INMED training, have been given opportunity to ask questions, and these questions have been answered to my satisfaction. I fully accept the above responsibilities. Please click below.
I agree to the terms.
INMED Participant Responsibility Agreement 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. If accepted into the program, I must schedule an academic advising meeting with my academic advisor. This is an opportunity to develop the academic schedule and explore potential scholarly projects. This must take place within 90 days of acceptance. Failure to complete the first academic advising within 90 days will result in dismissal from the program. 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.
Professional Headshot Photograph
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Government-Issued Photo ID
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Diplomas Granted
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Any undergraduate or graduate school diplomas already granted
Professional Certifications
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Any professional certifications already granted
Professional Licenses
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Any professional licenses already obtained
Official* Transcripts
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Academic transcripts (for those whose undergraduate or graduate education is still in process)
Letter of Recommendation
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Letter of recommendation from a faculty or supervisor
Resumé or Curricula Vitae
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Immunization Records
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I have fully read the conditions of INMED training, have been given opportunity to ask questions, and these questions have been answered to my satisfaction. I fully accept the responsibilities below.
*
I agree to the terms.
INMED Participant Responsibility Agreement
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.
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