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This form is used in medical student performance evaluations. It will be included in your academic "red" file. You may update this form as needed or additional information may be added at the time of your medical student performance evaluation appointment with Dr. Constance.
If you did not enter medical school immediately after completion of your previous degree(s), briefly describe your activities during the interim:
MEDICAL SCHOOL ACTIVITIES:
Extracurricular activities, awards, class offices, membership of committees:
TRAINING AND CAREER PLANS:
June 30, 2010
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