JAPA VSRP Application – JAPA Academy

Full Name: *

Email Address: *

WhatsApp Number: *

University: *

Students from all Jordanian medical schools are eligible to participate.

University ID Number: *

GPA: *

Please write the GPA either out of 4 or as a percentage.

Step 1 Exam Result: *

Pass
Fail
Not Available

Step 2 Exam Result: *

If it is not available, write "Not Available".

TOEFL or OET Exam Score: *

If it is not available, write "Not Available".

Select up 3 places and month slots for the visiting rotation:

Please make sure that you do not choose the same place more than once

First Place and Month: *

Second Place and Month: *

Third Place and Month: *

A 250-word essay explaining why the applicant should be selected for the rotation? *

Statements will be vetted for AI generation.

Please add one attending from your school that can act as a reference if needed and his/her email: *

Do you have any JAPA member who could act as a reference? *

If it is not available, write "Not Available".

Have you volunteered with JAPA before? *

No
Yes

If yes, please list previous volunteering activities with JAPA: *

Please list all publications that were previously published (First Author, Title, Journal, DOI Number):

Do you have any previous research experience other than published?

JAPA Academy reserves the right to interview all applicants before final selection or ask them to record a 5-minute case presentation and send it on demand to demonstrate clinical and language proficiency *

Check to confirm your agreement.

Application Fees - $60.00 *

Check to confirm your agreement to pay a $60 application fee.

Credit Card *

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Name on Card

JAPA-VSRP Application

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