2024 Medical Student and Resident Boot Camp Application

The CMA Boot Camp is a week long opportunity to learn about Catholic medical ethics and grow in faith with fellow Catholic students, residents, and physicians.

When: June 9-16, 2024; students and residents should plan their arrival for the evening of the first day and their departure in the afternoon of the last day.

Where: University of St Mary of the Lake / Mundelein Seminary, 1000 E Maple Ave, Mundelein, IL 60060

Who: Individuals who are currently enrolled in medical school, individuals who will be matriculating into medical school in the summer or fall, and physicians in residency training programs.

Cost: Successful applicants will be responsible for a $50 application fee payable upon acceptance and their travel costs. All other expenses shall be covered. Attendees must be current members of the CMA.

Deadline to apply June 1, 2024

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* 1. Basic Information:

Your Name

Your Email Address

Your Address

City/Town

State/Province

ZIP/Postal Code

Cell Phone

Medical School/Residency Program Attending

Graduation Year

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* 2. How did you hear about the Medical Student and Resident Boot Camp?

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* 3. Have you attended a previous Boot Camp?

Yes

If yes, which year(s)?

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* 4. Sex

Female

Male

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* 5. Would you be willing to share a room with a student/resident of the same sex?

Yes

If yes, do you have a roommate preference? (name)

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* 6. Ethnic Origin

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Other (please specify)

2024 Medical Student and Resident Boot Camp Application

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* 1. Basic Information:

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* 2. How did you hear about the Medical Student and Resident Boot Camp?

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* 3. Have you attended a previous Boot Camp?

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* 4. Sex

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* 5. Would you be willing to share a room with a student/resident of the same sex?

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* 6. Ethnic Origin

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* 7. Briefly explain why you are interested in the CMA Medical Student and Resident Boot Camp.

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* 8. Comments