Ascension Providence Hospital Medical Student Program Electives

  • This request form is to request electives for the 2020-2021 academic year (6/29/20 - 7/30/21).
  • Applications are accepted for the next academic year starting May 1st. The application will only be open for 24 hours and then closed on May 2nd. We will accept requests placed from midnight (eastern time zone) through 11:59pm on May 1st. Requests made prior or after the designated time frame will not be accepted. 
  • We will reopen the online application form if availability permits.
  • Rotations are 4 weeks in duration.
  • Due to the large amount of requests we receive, please allow 4 weeks for a response to your request.

*SECONDARY APPLICATION FORMS (please follow the instructions on each form for deadlines and submissions)*

Family Med (Residency) Student Application               OBGYN (Residency) Student Application

Orthopedics (Residency) Student Application               Radiology (Auditions) Student Application

Students from our affiliated schools: AUC, MSUCOM, Ross, Saba, & SGU should use this form when requesting electives.
Student Information
Ascension Southeast Michigan Electives