Residency Interview Hosting

To request a host for an upcoming residency interview trip, please fill out the form below and click to submit. An alumni association staff member will email you within 24 hours to confirm your request and update you on alumni availability. All requests must be made no later than two weeks prior to the requested host date. If you have any further questions, please contact the alumni office directly at alumni@bsd.uchicago.edu. Fields marked with an asterisk * are required.

*Name:
*Email Address:
Phone:
Specialty:
*Institution(s) you are interviewing with on this trip:
*City and State of interview:
*Dates you will need a host: (please include arrival and departure dates)
Special needs: (allergic to pets, etc.)