Application for Residency Form PDF Details

The Universal Application for Residency is developed by the Association of American Medical Colleges (AAMC) in collaboration with residency program directors across the country. This form consolidates the information most medical programs need to evaluate applicants, making the application process more efficient for both students and administrators.

The application for residency form covers these key sections:

The National Resident Matching Program distributes this form to programs that choose to use it. Programs are encouraged to accept this universal format rather than requiring candidates to complete unique forms for each program. This reduces the burden on medical students while helping programs receive consistent, well-organized information from all applicants.

Alongside your application for residency, you may need additional supporting documents. A residency letter of intent can strengthen your application by showing your commitment to a specific program. You may also need a certificate of residency for certain programs, or a proof of residency letter to confirm your current address. For institution-specific requirements, you can also review the CSN residency application as a reference.

QuestionAnswer
Form NameApplication For Residency Form
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesuniversal application residency, residency application form, AAMC residency application

Form Preview Example

UNIVERSAL APPLICATION

FOR

RESIDENCY

The Universal Application for Residency was developed by the Association of American Medical Colleges (AAMC) in collaboration with hundreds of residency program directors. It is designed to provide information generally required for consideration by program directors and to facilitate the residency application process. All programs are urged to accept this application in lieu of requiring the submission of a unique form and many programs have adopted this form as the application for their program. Applicants are encouraged to submit copies to all programs in which they would like to be considered.

Developed

by the

ASSOCIATION OF AMERICAN MEDICAL COLLEGES

Distributed

by the

NATIONAL RESIDENT MATCHING PROGRAM

2501 M Street, NW, Suite 1

Washington, DC 20037-1307

UNIVERSAL APPLICATION FOR RESIDENCY

PAGE ONE

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME:

 

 

POSITION BEGINNING IN

 

 

 

 

 

 

 

(LAST)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. NAME

(LAST)

(FIRST)

(MIDDLE)

 

 

2. SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

-

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. I AM APPLYING TO THE FOLLLOWING GRADUATE PROGRAM: PROGRAM DESCRIPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

(NAME OF HOSPITAL)

 

 

 

5. CITY

 

STATE

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(FIRST)

 

 

 

MEDICAL EDUCATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. MEDICAL SCHOOL(S) (NAME)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(CITY)

 

(STATE/COUNTRY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. MONTH/YEAR OF MATRICULATION AT MEDICAL SCHOOL

8. MONTH/YEAR OF (ANTICIPATED) GRADUATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(MIDDLE)

 

9. ELECTIVES COMPLETED/PLANNED (PLACE A "P" AFTER PLANNED SENIOR ELECTIVES)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. HONORS/AWARDS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GRADUATE EDUCATION

 

 

 

 

 

 

11.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATES ATTENDED

 

 

 

 

 

 

 

 

GRADUATE SCHOOL(S)

 

FROM

TO

GRADUATE DEGREE

AREA OF STUDY

 

 

 

 

 

(MO/YR)

(MO/YR)

(IF ANY)

 

 

 

A. NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNDERGRADUATE EDUCATION

 

 

 

 

 

 

12.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATES ATTENDED

 

 

 

 

 

 

 

 

UNDERGRADUATE COLLEGE(S)

 

FROM

TO

DEGREE

MAJOR

 

 

 

 

 

(MO/YR)

(MO/YR)

(IF ANY)

 

 

 

A. NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICATION FOR RESIDENCY - PAGE TWO

13.PERSONAL STATEMENT (SEE INSTRUCTIONS, USE ADDITIONAL SHEET, IF NECESSARY).

14.

SERVICE OBLIGATIONS (NATIONAL HEALTH SERVICE CORPS, ARMED FORCES SCHOLARSHIP, STATE PROGRAMS, ETC.) I AM NOT REQUIRED TO FULFILL ANY SERVICE OBLIGATIONS

I AM COMMITTED TO FULFILL A SERVICE OBLIGATION BEGINNING

(MO./YR.)

NUMBER OF YEARS COMMITTED

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Step 2: You will see the document ready to be filled in. In addition to filling in different blank fields, you can also write custom words, edit the initial text, add images, affix your signature to the PDF, and more.

This PDF form will need specific information. To ensure accuracy and reliability, pay attention to the following guidelines:

1. The universal residency application requires certain information to be inserted. Make sure the following blank fields are completed:

application for residency pdf writing process shown (portion 1)

2. After completing the first part, move on to the next step and fill out the required details in these blank fields: HONORSAWARDS, GRADUATE EDUCATION, DATES ATTENDED, GRADUATE SCHOOLS FROM TO GRADUATE, A NAME, CITY STATE, B NAME, CITY STATE, UNDERGRADUATE EDUCATION, DATES ATTENDED, UNDERGRADUATE COLLEGES FROM TO, and A NAME.

Stage # 2 of submitting application for residency pdf

3. This step is straightforward. Complete all the form fields in CITY STATE, B NAME, CITY STATE, C NAME, and CITY STATE to finish this part.

Filling out part 3 in application for residency pdf

4. Proceed to the fourth portion. You will find the PERSONAL STATEMENT SEE blanks to complete in this section.

Learn how to fill out application for residency pdf stage 4

Take care when filling in PERSONAL STATEMENT SEE, as this is where many applicants make mistakes.

5. Near the end of the form, you will find a few more fields to complete. SERVICE OBLIGATIONS NATIONAL, I AM NOT REQUIRED TO FULFILL ANY, I AM COMMITTED TO FULFILL A, and NUMBER OF YEARS COMMITTED must all be filled out.

Completing segment 5 of application for residency pdf

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Common Questions About the Residency Application Form

What is the Universal Application for Residency?

The Universal Application for Residency is a standardized form from the AAMC. It collects all the information residency programs need to review your candidacy, including your personal statement, education history, and service obligations.

Who needs to complete this form?

Medical students applying for residency positions in the United States use this form. It is distributed through the National Resident Matching Program and accepted by programs that participate in the ERAS system.

What other residency documents might I need?

Beyond the application itself, you may want to prepare a letter of intent for residency to send to your top program choice. You may also need a state residency verification form depending on your program requirements.