CENTRAL WASHINGTON FAMILY MEDICINE
ELECTIVE FOUR-WEEK SUB-INTERNSHIP APPLICATION
Current Year in School:
Preferred Sub-Internship Date:
Tell us about your interest in Family Medicine:
List the Learning Objectives for your sub-internship in your
own words (Do not list your school's objectives):
Do you have family or other ties to the Yakima area?
Do you need a place to stay during your sub-internship?
Are you applying for residency here?