Clinical Education

Forms (in alphabetical order)

Absence Request

An Absence Request is required for all absences from RowanSOM clinical rotations, including conference attendance, taking COMLEX exams, going for interviews and utilizing your personal day. You must obtain the Clerkship Director's signature a minimum of 14 days in advance of the requested absence date. Absences during electives must be arranged directly with the elective site, and do not require an Absence Request.

Waiver and Release for Study Outside the University or its Affiliates

Students at Rowan University may request permission to participate in a program of study or other educationally related experiences (“Program”) outside the University or its affiliates.  In consideration for being permitted to participate in a non-affiliated Program, students will have to accept certain responsibilities and risks noted on the linked waiver. This Statement does not eliminate the need for students to sign additional waiver forms with Academic Affairs.

Clerkship Application

The Clerkship Application allows students to request both elective and core clinical rotations via an online form, which then goes through an online approval process. This request must be submitted a minimum of 30 days in advance of the start date of the rotation. Student Clerkship Applications are approved by Clinical Education and the Registrar's office. Students can track the status of their forms and view the full details, as well as edit additional information. Upon clicking the Clerkship Application link above - you will be presented with a dialog box for logging in to the system. You must use your Rowan University credentials to connect. Note: It is not necessary to include the domain name, just your standalone username (Ex.: You do not need to include "" after your username).

Non-Credit Experience Application

A Non-Credit Experience Application may be completed during vacation time or night/weekend hours while on a regularly scheduled rotation.

This form should also be used by first and second year students for medicine-related activities outside of class or summer programs. Several signatures are required.

Request to Make Up Clinical Weeks

A request to make up clinical weeks is required for medical, academic, or personal absences from RowanSOM clinical rotations over 5 days. This is reviewed by the Clinical Education Coordinator and discussed with the Assistant Dean of Student Affairs before time off is approved. All missed weeks are required to be made up before you will be eligible to graduate.

Application for International Rotations

Students that wish to do an international elective should email Martin O'Connor or Diane Vilardo at or and they will send you the form required.


Still have questions? Contact:

Diane Vilardo
Staff Assistant, Clinical Education
Office of Academic Affairs
One Medical Center Drive, Suite 210
Stratford, NJ 08084-1501

One Medical Center Drive
Stratford, New Jersey 08084-1501
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