IAU AICM Online Registration Spring 2021 | International American University College of Medicine

STUDENT INFORMATION

Current Semester*

Last Name*

First Name:*

Current Address:*

Permanent Address:*

Home:*

IAU Email*

Alternate Email:*

Permanent Phone*

ACADEMIC INFORMATION

Advanced Intro to Clinical Medicine (AICM)*

Date of Completion*

USMLE Step 1 Review Course*

Date of Completion*

Start Date*

End Date*

Name of Course Review*

Upload proof of Completion*

Comprehensive Basic Sciences Exam (CBSE)*

Number of Attempts*

Attempt 1*

Pass
Fail

Date of Exam*

Attempt 1*

Pass
Fail

Date of Exam*

Attempt 2*

Pass
Fail

Date of Exam*

Attempt 1*

Pass
Fail

Date of Exam*

Attempt 2*

Pass
Fail

Date of Exam*

Attempt 3*

Pass
Fail

Date of Exam*

Reason*

Expected Date*

USMLE Step 1 Certification*

Number of Attempts*

Attempt 1*

Pass
Fail

Date of Exam*

Attempt 1*

Pass
Fail

Date of Exam*

Attempt 2*

Pass
Fail

Date of Exam*

Attempt 1*

Pass
Fail

Date of Exam*

Attempt 2*

Pass
Fail

Date of Exam*

Attempt 3*

Pass
Fail

Date of Exam*

Reason*

Expected Date*

Last Attended Semester*

Student Name*

Date*

Comments

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