Cuba trip application form

For OMS IV applying for April 2020 please submit this form and required documentation by Friday, November 22, 2019

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VERY IMPORTANT - MORE INFORMATION IS NEEDED

Before the application can be processed the following two items must be submitted to Rusti via in person at the IGH office or email at smithru2@msu.edu. Failure to do so before the due date will result in the removal of this application from the applicant pool. 

  1. A copy of the first page of the applicant’s passport
  2. Copy of Immunization record