This form is to be completed by M4s upon acceptance of a position at an away institution.
Typically, no more than two (2) away electives may be taken and no more than two (2) away electives may be taken at the same institution (must be different clinical experiences).
If required, please dropany registered course during the same module when the away elective is taking place. Away elective course registration cannot take place if already registered for another course. Please have this step completed prior to submitting this form.