SURG 301A: Dental Medicine & Surgery Clerkship Pre-approval form
Any questions email to: Jillian Cruz jccruz@stanford.edu
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Email *
Name (First, Middle, Last) *
The student is participating in a DDS or DMD degree program accredited by the Commission on Dental Accreditation (CODA), is in good academic standing, and , at the time of the elective clerkship, will be registered in their final year. *
The student has passed the NBDE board exam step 1? *
Scheduled NBDE board exam step 1 date (MM/DD/YYYY) or put "Not Applicable" *
DDS or DMD candidates are exempt from the requirement of "The student will have completed the following core clerkships by the time of the elective clerkship (Medicine, Surgery, and Pediatrics must already be completed)" located as question 11 on the Dean's statement.
A copy of your responses will be emailed to the address you provided.
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