Osteopathic Manipulative Medicine 
PCOM Student Elective Rotation

Applicants must submit the following documents and complete the online form below in order to apply:

• Photo
• CV
• Copy of health insurance card (front and back)
• Certificate of malpractice insurance (minimum of $1 million/$3 million, current at time of requested rotation dates)
• Letter of good standing
• State criminal background check (within two years of the requested rotation dates - this clearance may be obtained in your state)
• PA FBI fingerprinting clearance (within two years of the requested rotation dates)
• PA child abuse clearance (within two years of the requested rotation dates)
• Immunization records
• PPD test results (within one year of the requested rotation dates)
• Flu shot verification (within one year of the requested rotation dates)
• Mask fit test results (within one year of the requested rotation dates)
• Affiliation agreements are needed for non-PCOM students, please check with your school to confirm that an agreement between PCOM and your school is in place in order to complete your audition or non-audition request.

Applicants must complete the form below and submit the required documents in order to apply.

Elective Application Form

If you see this don't fill out this input box.

* Indicates required field

*Name

*Email address

*Current Street Address

*City

*State

*Zip code

*Mobile phone number

*Alternate phone number

*Medical School

*Year of Graduation

*Rotation dates - choices 1, 2 and 3

Type of rotation requested

AuditionNon-Audition

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• Audition rotation for the residency program and elective rotation