Note: All fields marked with an * are required. Only one electronic application per applicant will be accepted.
You will receive a confirmation screen and e-mail after your submission has been received. If you are having difficulty, please contact us at ddcfcrf@aibs.org.
This form must be filled out and submitted electronically to DDCF. After you click "Submit," you will receive an email with all of the information you enter into the fields below. The personal statement will be an attachment to the email. Print the email and the attached personal statement and include it as the first pages of your application package for each medical school to which you apply (see Preparing Your Application Package for instructions on the other materials you will need to include). Completed application packages must be received at individual schools by January 16, 2008.
Please verify that you are on the secure application site by verifying that your browser is on https://www.ddcf.org/apps/crf/application2.asp before entering your information.