Please read the housing guidelines before completing this form. Complete all sections unless this form is being submitted along with the NC AHEC Community Primary Care Rotation form. Then it is only necessary to complete shaded areas. Click on the Submit form button to submit to Greensboro AHEC.
University School Contact Fax
Department/School Phone Email
Submit additional form for Rotations 4+
Rotation1
Rotation 2
Rotation 3
Housing availability confirmed approximately 30 days prior to your rotation date. See Housing Guidelines for AHEC specifics.