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UW Medicine Alumni Office 206-685-1875 866-MED-ALUM 866-633-2586 Fax: 206-543-9828 E-mail
Campus Box: 358220 1325 Fourth Avenue Suite 2000 Seattle, WA 98101-2506
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HOST (Help Our Students Travel) — The HOST Program has helped hundreds of UW's fourth-year medical students find a friendly home while traveling for their residency interviews. The HOST program puts fourth-year students in touch with UW medical alumni who live in or near the cities where their residency interviews are taking place. The alumni provide students with a free place to stay for one or more nights.
Alumni Host Form
(Please fill in completely)
*Full Name:
*Address:
*City:
*State:
*ZIP Code:
*Preferred Phone:
*E-mail:
*Confirm E-mail:
UWSOM Class Year
*Specialty:
*MD:
*Residency:
*I am a parent of aUW med student:
*Name:
HOSTING INFORMATION
*Nearest metropolitan areaand/or medical school:
*How many years have youvolunteered as a HOST?
*How many times could youHOST a student this season?
*How many students couldyou HOST at a time?
What time period(s) duringthe months of November,December and January wouldyou not be available to HOST?
*If the student's spouse/significant other wants to accompany the student, would that be acceptable to you?
Are there any commentsyou'd like to add?
* indicates required field
Bookmark this page and use it for future interview trips!