Independent Elective 2014-2015
Weill Cornell Medical College
STEP 1: COMPLETE ALL INFORMATION BELOW
Student Name:
Class of:
Descriptive Title of Elective:
Exact Start/End Dates of Elective
No. Weeks:
Sponsor’s Name:
Do you plan on having this fulfill the Advanced Basic Science Requirement?
(If so, please also complete the ABS form )
Please indicate when you plan to do this in the table below.
Module
Dates
A
B
C
D
E
F
G
H
I
J
K
L
July 7 Aug 1
Aug 4 Aug 29
Sept 2 Sept 26
Sept 29Oct 24
Oct 27 Nov 21
Nov 24 Dec 19
Jan 5Jan 30
Feb 2 Feb 27
Mar 2 Mar 27
Apr 6 May 1
May 4 May 29
June 1 June 26
4 week blocks
2 week blocks
Brief Description:
STEP 2: OBTAIN YOUR SPONSOR & ADVISOR APPROVAL
In lieu of a live signature below, you may attach a printout of email correspondence with sponsor.
DO NOT FORWARD YOUR EMAIL CORRESPONDANCE TO ACADEMIC AFFAIRS.
(Step 1) Sponsor’s Name:
Sponsor’s Signature:
Date:
STEP 3: ADD Course to your schedule.
Students are responsible for adding ALL elective experiences to their schedule – see the scheduling guide
for codes and instructions. STUDENTS WILL NOT RECEIVE CREDIT FOR COURSES THAT DO NOT
APPEAR ON THEIR SCHEDULE. All applications for independent electives must be submitted to the Office
of Academic Affairs BEFORE the WCMC student begins the experience.
PLEASE RETURN TO: Electives Coordinator, Office of Academic Affairs, C-118
1300 York Avenue, New York, NY 10065 Phone (212)746-1050 Fax (212) 746-5981