APPLY TO AMIQT

Start your medical journey in the US.

Fill out the form below to begin your AMIQT application process.

    FIRST NAME *
    LAST NAME *
    EMAIL ADDRESS *
    PHONE NUMBER
    MEDICAL SCHOOL
    TOP PREFERRED ROTATION *
    TELL US ABOUT YOURSELF (Include preferred dates of rotation(s), etc.)
    HOW DID YOU FIND OUT ABOUT US? *
    GoogleAMAResidency ForumYoutubeFacebookLinkedInWord of MouthSchool ReferralOther