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Local Global Health Application Form

PLEASE NOTE, THIS ELECTIVE IS CURRENTLY ONLY AVAILABLE FOR MEDICAL STUDENTS IN THE CLASS OF 2021 or 2022 (I.E. MED I or II STUDENTS)

Application deadline: November 2, 2018 by 4:00pm
Review of Applications: Novermber 5 - 9, 2018
Orientation: January 10th, 2019 (exact date TBD)
Elective begins: January 21st, 2019

Late applications will not be accepted.

General Information:

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Information Related to the Program:

Please limit your answers to one paragraph per question

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 North end Dartmouth
 North end Halifax
 Spryfield
 West end Halifax
 No preference
 
 North end Dartmouth
 North end Halifax
 Spryfield
 West end Halifax
 No preference