MSPE / Dean's Letter Request Form

You are required to submit the following Student Data:
Student Name
First Name : *
 
Last Name : *
 
Middle Name :
 
AAMC ID:
SSN/SSI/P# :*
 
Email : *
 
Phone Number : *
 
Student Address
Street :*
 
City : *
 
State / Zip :*
 
No. of Copies
Requesting :*
 
Alumnus : *
 
Current Student : *
Former Student : *
Please send my MSPE to:*

MSPE Eligibility : Student must have passed Step 1. The student must be a senior( final year) Medical student in good academic and financial standing. Student has at least completed 48 weeks of clinical rotations (including ALL CORES) with Xavier University School of Medicine Aruba. Student file must be complete and all financial obligations met.

MSPE Supporting Documents Required : These documents have to be submitted to the Registrar's Office (Email: registrar@xusom.com Fax: 888-411-5941).

1. Personal statement detailing academic and professional achievements since high school graduation.
2. A current copy of CV or resume.
3. Transfer students: Reason(s) for transfer to Xavier University School of Medicine Aruba.

Please allow 4-8 weeks to process from date of request.

I hereby agree to the terms and conditions :
Date:
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