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amiqt
2021-03-12T20:24:29+00:00
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 *
Neurology
Family Medicine
Internal Medicine 1
Internal Medicine 2
OB/GYN
Ophthalmology
Pediatrics
Cardiothoracic Surgery
TELL US ABOUT YOURSELF (Include preferred dates of rotation(s), etc.)
HOW DID YOU FIND OUT ABOUT US? *
Google
AMA
Residency Forum
Youtube
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Word of Mouth
School Referral
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