Application Form for Training Programs

Type of Training:
□ Clinical Elective □ Observership □ IFMSA Exchange: □ Scope
□ Score
Number of rotations: 1□ 2□
Specialty in which training is sought in order of preference:

1- general dental care unit 2- Pediatric dentistry

3- Orthodontics and dental 4- ……………………………..
orthopedics
Please note that the college will only offer a maximum of two specialties counting in your
preferences and the availability of the specialties.

Proposed date of training:

1st Rotation : From 10 / 06 / 2018 To 23 /06 / 2018
2nd Rotation : From 24 / 06 / 2018 To 12 /07/ 2018

Application Form must be accompanied by:

- Letter requesting training attachment from the students' medical school *
- A reference letter from one of the tutors from the students' medical school *
- An official transcript *
- Curriculum Vitae *
- Passport Copy
- A Personal Photo

Student Name:

Signature: Date:

* Not required for IFMSA applicants.

ENQUIRIES:
ENQUIRIES:Telephone:
Telephone:
(968)(968)
2414-3416
2414-3416
or (968)
or (968)
2414-3480,
2414-3480,
Facsimile:
Facsimile:
(968)(968)
24413300,
24413300,
E-mail:
E-mail:
medelective@squ.edu.om
medelective@squ.edu.om
ENQUIRIES: Telephone: (968) 2414-3480 or (968) 2414-3416, Facsimile: (968) 24413300,
E-mail: medelective@squ.edu.om