MedDreams International Clinical Experience Application Name * First Name Last Name Email * Phone (###) ### #### Date of Birth MM DD YYYY Sex Male Female Year in School Freshman Sophomore Junior Senior Graduated Other Most recent school attended * Enter the name of the most recent school you’ve attended (e.g., university, or graduate program). This helps us better understand your current academic level and background. Major Pre-health Track of Interest Medicine (MD/DO) Physician Assistant Nursing Dentistry Pharmacy Public Health Other Previous Mission Trip Experience? Yes No What do you hope to gain from participating in this mission trip? Please briefly describe what you envision learning or achieving through this experience. Skills/Experience (Optional) Do you have any skills or experience (e.g., language proficiency, healthcare training, leadership) that you think would be valuable for this mission trip? Additional Comments Is there anything else you would like to share or feel we should know about you? Reference or Recommendation If someone referred or recommended you for this mission trip, please provide their name and their relationship to you. How did you hear about us? Submitted Thank you for applying to join the MedDreams medical mission trip! Your application has been successfully submitted.What Happens Next:Our committee will review all applications carefully. If you are selected to participate, you will receive an email with further details.Please allow us up to 2 weeks to review applications. If you do not hear from us within that time frame, feel free to contact us for an update.If you have any immediate questions, don’t hesitate to reach out to us at info@meddreamsfoundation.org.Thank you for your interest in joining us on this impactful mission. We look forward to reviewing your application!