Parents & Families
Diversity & Inclusion
Career Development Center
About the BCDC
Meet the BCDC Team
Discover & Explore
Liberal Arts at Work
Majors & Careers
Career Discovery In Practice Job Shadow Program
College Key Travel Funding
Career Exploration Resources
Plan & Prepare
Workshops, Events and Career Fairs
How To Guides: Resumes, Cover Letters & Interviews
International Student & Scholar Services
Housing & Transportation Resources
Jobs & Internships
Internships & Funded Opportunities
Purposeful Work Internships
Looking for an internship?
Looking for financial support?
Frequently Asked Questions
Job Search Resources
Class of 2017 Postgraduation Survey
Class of 2016 Postgraduation Outcomes
Class of 2015 Postgraduation Outcomes
Class of 2014 Postgraduation Outcomes
Career Confidence Survey 2016
Graduate & Professional School
Graduate School Advising & Resources
Graduate & Professional School Fair
Health Professions Advising
Business School (MBA)
CMMC Family Practice Residency Program Registration Form
Please fill out the following registration form to be considered for the program.
Cell Phone Number
Home Mailing Address
Major/s (if declared)
Your Class Year
First Year (Class of 2021)
Sophomore (Class of 2020)
Junior (Class of 2019)
Senior (Class of 2018)
Check which semesters you will be on campus.
Short Term 2018
Which parts of the Bates/CMMC Partnership do you wish to participate in this semester?
Didactic lectures (open to anyone)
Shadowing at the Family Practice Residency's Family Medicine Clinic (open to Sophomores, Juniors and Seniors) Note: HIPPA training and proof of immunizations required.
Shadowing interns and residents on CMMC's Family Medicine Inpatient Floor (open to Juniors and Seniors with significant healthcare experience) Note: HIPPA training and proof of immunizations required.
Do you have proof of the following immunizations? (Measles, Mumps, Rubella, Hepatitis B, Varicella, Negative PPD (results within the past 12 months), and Flu Vaccine (during appropriate time of year)
Have you been through HIPPA training through CMMC?
Have you spoken with Karen Daigler or Lee Abrahamsen about this opportunity?
What experience(s), if any, have you had working in a health care setting?
List 3 goals that you hope to achieve through this opportunity.
Information collected through this form is covered by our website