Alumni Volunteer Registration
The HOST Program matches alumni across the country with fourth-year medical students who are traveling to their residency interviews, typically during the months of October through January. Please complete the registration form below. Thank you for participating!
*Required Fields
1. Please provide the following information:
2. My gender is:*
3. I prefer to host a medical student of the following gender:*
4. I am willing to provide the following accommodations to a fourth-year Penn Medicine student (Check all that apply):
5. Please identify the training hospitals in your area and provide the average commuting time from your home:
Hospital #1*
*Average Commuting Time
Hospital #2
Average Commuting Time
Hospital #3
6. My medical specialty is:*
7. I am currently employed at:*
8. Additional comments or information:
Connect with fellow Penn Medicine Alumni here.
First-time users click here to create your account. Forgot your ID or password?
