Student Forms

• Phase 1 (Pre-Clinical) Excused Absence Request

• Budget Appeal Request
  • Away Clinical Rotation Expenses
  • Residency Application & Interview Expenses
  • USMLE Exam Expenses
  • Other Expenses in Excess of Standard Cost of Attendance
• Outside Aid Reporting Form
• RuralMed Application
• U.S. Department of Health & Human Service Loan Applications
  • Loan for Disadvantaged Students
  • Primary Care Loan
  • Non-Filer Form

• Release of Information (ROI)
• Graduating Medical Student Degree Verification Request

Below are the Campus & Clerkship Administrators for whom have a legitimate educational interest in Clinical Course Schedules

Bismarck (Southwest) Campus:

• Jodi Rathjen
• Susanna Warner
• Deb West

Fargo (Southeast) Campus:

• Kristi Hofer
• Sarah Julsrud

Grand Forks (Northeast) Campus:

• Stacie Klegstad
• Carla Sanden

Minot (Northwest) Campus:

• Jodee Nielsen
• Aimee Smith

Emergency Medicine

• Jodi Rathjen

Family Medicine

• Melissa Gardner
• Stephanie Boltz

Internal Medicine

• Carla Mosser
• Kathryn Camburn

Neurology

• Vacant

Obstetrics/Gynecology

• Tracey Steffes

Pathology

• Stacie Klegstad

Pediatrics

• Brianne Melicher

Psychiatry

• Danielle Cellucci

Radiology

• Jodi Rathjen

Surgery

• Marlys Peterson