APPLICATION FOR MEDICINE AND THE HUMANITIES SPECIAL PROJECT 1 Start 2 Complete Student name * Email * Date of submission * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Project title * Describe your project in approximately 500 words * including any link to a previous learning experience, and explain how the project enhances your development as a physician (you may include attachments). Description of the link with the humanities (history, philosophy, arts, literature, social sciences) * Your role in the project * Please note: The special project must be completed with a report of no less than five pages or an equivalent submission approved by the MHC, and presented during 3rd or 4th year. I agree * I am interested in linking my MHP project to the Faculty’s Leadership program Upload Files must be less than 2 MB.Allowed file types: pdf doc docx.
