Medical student resource directory (e-Kiosk)

Whether you are requesting a letter of recommendation, requesting testing accommodations, or reporting a needle stick injury, you have come to the right place! We stand ready to assist you with individualized student support and encourage you to tap into the many services provided on our self-service e-KIOSK. We also encourage your feedback and ideas for this website.

Commonly used forms by medical students

• Incident Reporting

  WSU SOM is committed to creating and fostering a campus environment free from all forms of discrimination and harassment. An "incident" is any event or conditions that threaten the safety and/or security of those involved and/or pose risk to individuals or to the institution, be it physical and/or emotional. Any student who believes he or she has been subjected to prohibited conduct should report the incident immediately. Review policy prior to completing the form
  Official M.D. Handbook and Policies.

  • Mistreatment Policy and Procedures (Section 9.4)
    Mistreatment form
  • Non-Toleration of Discrimination & Sexual Harassment (Section 11.5)
    Sexual misconduct form
  • Professionalism Policy (Section 7.1)
    Professionalism reporting form
  • Universal Precautions & Needlestick Protocol (Section 6.4)
    Needlestick form
• Letter Requests and Commonly Used Forms

  The e-Kiosk is designed to provide our medical students with ready access to a wide range of key services.

  1. Begin by clicking on the appropriate form below.
  2. Complete the required fields in the form.
  3. Select the type of letter you are requesting and upload the appropriate supporting documentation needed for your letter. Do not submit the request until all documentation is attached. (Example, CV, Jury Summons, etc.)
  4. Click the submit button located at the bottom of the form and the request will be routed to the appropriate person. If further information is needed the letter writer will contact you.
  5. You must request your letter at least 10 days prior to the application due date or submission deadline.
  6. If you have any questions, please contact the Office of Student Affairs at studentaffairs@med.wayne.edu.

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  Student Affairs:

  • Canadian Border Crossing Letter
  • Good Standing Letter
  • Health Professions Scholarship Program (HPSP) Reimbursement
  • Jury Duty Dismissal Letter
  • Letter of Recommendation
  • Leave of Absence Form
  • Excused Absence Form
  • Excused Absence Request for a Scientific Conference
  • Military Training Letter
  • Notary Request
  • Custom Letter
  • Conference Travel for Research/Poster Presentations

  • Records and registration forms
    • Name and Address Change
    • Attestation
    • Certifying M.D. Degree Completion
    • Diploma Re-Order Request
    • Holds
    • Enrollment Verification
    • Grades and Evaluations
    • Apply for In-State Tuition Classification
    • Transcript Request
    • Forth Year Registration Adjustments
    • Independent Study Elective Form

  Curricular Affairs Forms:

  • Clerkship Duty Hour Violation Form  
  • Clerkship Grade Appeal Form
  • PEARLS Reporting Form

  Other commonly used forms:

  • Audiovisual Requests
  • Room Reservations
  • Scott Hall Locker Registration Form 
  • Scott Hall Fitness Room Release and Waiver of Liability Form
  • Student Affairs Website Feedback Form
  • SOM Facilities Feedback & Suggestions Form (WISE Program)
• Post Graduate/Alumni Letter Requests

  These forms are to be completed by graduated MD students from the SOM. ERAS tokens or updated MSPE letters can be requested. If you are applying through ERAS for a fellowship, we do participate in the EFDO Medical Institution Document Service (MIDUS).

  • Post Graduate Letter Request
  • ERAS - Token Request
• Student Organizations

  Read through the Student Organizations Finance Guidelines prior to submitting any reimbursement request.

  • Student Organization - Supply Request Form
  • Student Organization - Personal Reimbursement Form
  • Student Organization - Catering Form

  Honorarium guest speaker forms:

  • W9, or  W8 (Canadian residents)
  • New Vendor Form
  • Supplemental Data Form   
  • Student Organization - Honorarium Request Form

  Travel Forms for Conferences/Poster Presentations:

  • Excused Absence Request for a Scientific Conference
  • Virtual Conference Request Form
  • Virtual Conference Reimbursement Form
  • Conference Travel Request Form 
  • Conference Travel Reimbursement Form
  • Alumni Association - Thank You Note 

  Forms for starting a new student organization:

  • Get Involved
  • Faculty Advisor Agreement
  • Student Organization Constitution Form
  • New Student Organization Form
• Testing Accommodation Requests

  The medical school encourages you to refer to the Students with Disabilities (SDS) website if you have a documented disability or suspect you have a disability that will impact your medical school performance. The SDS office can be contacted at 313-577-1851. Office hours are Monday-Friday 8:30-5:00 with extended evening hours on Monday and Thursday evenings until 7:00 during the fall and winter.

  • Student Disability Services (SDS) & Testing Accommodations
  • Testing Accommodations for USMLE

Commonly used resources by medical students