Bilingual Health Scholarly Concentration Application
The BHSC provides a guide to pre-clinical and clinical opportunities where you may improve your clinical Spanish skills. Please fill the following application if you are interested in pursuing the Bilingual Health Scholarly Concentration.

You may find additional information about additional curriculums that the BHSC has partnered with at Bilingual Health Scholarly Concentration | HCOE | UTMB Home

Additional questions, please contact Dr. Norma Pérez Raifaisen. If you are unsure about your level of Spanish oral proficiency, please contact her as she is certified by ACTFL and able to test your level of oral proficiency. Book an appointment using this link: https://utmb.craniumcafe.com

Sign in to Google to save your progress. Learn more
Email *
Last Name
Middle Name
First Name
Personal Email
Personal email
UTMB Email
Phone number
Spanish Fluency
Are you a fluent Spanish speaker?
Oral Proficiency Test?
Have you been tested for Spanish oral proficiency?
Medical/Health Experience(s) in Spanish-speaking clinics in USA or outside of USA
List your experiences in the past (mission trips, research, clinical shadowing, etc.). Include state and country if outside of USA. Add reason why you pursued the experience(s).
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy