Acceptance Information

Applicants whose forms and handling fees arrive at our office no less than 4 months before their elective period begins, will receive a reply via e-mail approximately 40 days before each elective period.

We cannot guarantee this time frame for any material which arrives later.

_______________________________________________________________________________

ARRIVAL DETAILS before starting the Elective

Please copy to your Email, fill out , in BLOCK letters,

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STUDENT’S NAME: ________________________

PERMANENT MAILING ADDRESS:_______________________

PHONE IN ISRAEL (IF AVAILABLE): __________________________

I hereby confirm that I have received an ACCEPTANCE LETTER for an elective at:

HOSPITAL: ____________

DEPARTMENT: _______________

DATES: ______________ to ______________

I am aware that I must begin my elective on the first day specified, or no later than 6 days after that date, and that I cannot extend my elective period past the confirmed end date without contacting the office first.

INSURANCE: I hereby acknowledge that neither this ELECTIVES PROGRAM COMMITTEE nor any other person is responsible in any way for my health and safety, and that the TEL AVIV UNIVERSITY ELECTIVES PROGRAM does not provide insurance of any kind. Therefore, as stated on my Application Form, I declare that during the entire period of my elective at this Program I will be in possession of health & accident insurance (valid in Israel). A photocopy of my Health & Accident Insurance policy is enclosed / is not enclosed.

ARRIVAL: date ____________time __________ Airline _______________flight No._________

DEPARTURE: date ____________time __________ Airline _______________flight No._________

I hereby acknowledge that I have read, understood and accepted all regulations and policies pertaining to the Electives Program as detailed in: medicine.tau.ac.il/overseas

REMARKS: _____________________________________________________________________________________________

Date_________________________________________