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Periodontics Externship Application
Complete this form to apply for an externship with the graduate periodontics program at the James B. Edwards College of Dental Medicine at the Medical University of South Carolina.
Last Name
First Name
Date of Birth
Email
Telephone
I Am Currently:
A Dental Student
AEGD/GPR
A Practicing Dentist
Name of Dental School
Years of Dental School Completed
Name of AEGD/GPR Program & Institution
Years of AEGD/GPR Program Completed
Name of Practice
Number of Years in Practice
Upload your CV
Single file. 10 MB or less
Please share a short statement (300 words or less) about why you want to extern at MUSC.