> Student
I. Personal Information
Name
Nationality
Passport Number
E-mail
Cell phone number
Profession you are studying
Year in course
University or Institute
City
Country
II. Internship Information
Name of the internship you are applying for
Clinical unit, service, specialty
Duration of the Internship
Proposed starting date
Proposed ending date
III. Required Documents
Reference letter issued by the applicable authority of your University or Institute approving the internship
Cover letter
Resume (Curriculum Vitae)
Learning objectives guideline
Clínica Universidad de los Andes