Student Registration

Contact Name(Required)

Email(Required)

Phone Number(Required)

Full current mailing address to have materials shipped to you(Required)

Date of Birth(Required)

Please share your preferred pronoun(Required)

Program Registering for:(Required)

For students doing individual sessions: what Step/Level are you preparing for?

Name of Medical School(Required)

Are you preparing for COMLEX or USMLE?(Required)

Please tell us who referred you to our program (Be as specific as you can)(Required)

Estimated Exam Date(Required)

Have you taken another board review program in preparation for this test?(Required)

Please provide us with an emergency contact name(Required)

Emergency Contact Phone Number(Required)

Please list dates and scores of all previous Board exams, if taken.

Please tell us why you think you were not successful on your previous Board exam(s).

Additional Comments:

IOMB Student Agreement, Code of Conduct, and Release of Liability And Refund policy.(Required)

By checking this box, you agree that you have read and agree to these terms and conditions as outlined in the IOMB Student Agreement, Code of Conduct, and Release of Liability And Refund policy.

I have Read and Agree

All students are required to bring their own Uworld subscription to the program. Check this box to indicate you read and understand this requirement.(Required)

I understand this requirement.

Special Arrangements Code (if applicable):

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Student Registration

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