Physician Assistant Program Group Request

Thank you for your interest in Physician Assistant Studies at Case Western Reserves University's School of Medicine. We are happy to take your request for a virtual group information session. Please note, that we prefer at least (10 business days) prior notice so that we can be well prepared for your group!

Organization/Institution

Contact Organizer Title

Contact Organizer First Name

Contact Organizer Last Name

Contact Organizer Email

Contact Organizer Moblie Number

What types of students should we expect? Select all that apply.

If you are on a PC or MAC computer you will need to use the CTRL (Control) or CMD (Command) Key and right-click on all that apply.

What is the purpose of your visit?

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Preferred Start Time

Preferred End Time

Preferred Date #2

Preferred Start Time

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Preferred Date #3

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Preferred End Time

What would you like to accomplish on your visit?

Information Session

Cleveland Highlights Session

Clinical Service and Partners Session

Other

How many students do you expect to be in attendance?

The program asks for a minimum of 10 students registered for your virtual event after we send a registration link. Students are able to register for a recording if they cannot attend the virtual event live.

Do you have any special requests or accommodations?