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Application Instructions
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ECFMG may provide international medical schools with data on the performance of their students and graduates who apply to ECFMG for USMLE Step 1, USMLE Step 2 Clinical Knowledge (CK), and USMLE Step 2 Clinical Skills (CS). At the start of the exam application, you will be presented with a notice outlining ECFMG's practices regarding the provision of these data to international medical schools as well as the process by which you can request to have your individual exam results withheld from your medical school. You must certify that you have read, understood, and agree to this notice. If you do not check the box certifying that you have read, understood, and agree to this notice, you will not be able to continue with the application.


Item 1. Select an Exam
Select the exam you wish to take. After you complete Item 22 of this application, you will have the option to apply for other exams using the same application, provided you meet the eligibility requirements for the other exams.


Item 2. Eligibility Period (Step 1 and Step 2 CK only)
Select the three-month eligibility period during which you want to take the exam. Please note that USMLE Step 1 and Step 2 CK are not offered during the first 14 days of January or on major local holidays.

Your application does not need to be received in advance of an eligibility period to obtain that eligibility period. To select and obtain an eligibility period, ECFMG must receive the on-line part of your application, the Certification of Identification Form (Form 186) or Certification Statement (Form 183), and any other documents required to complete your application by the 24th day of that eligibility period, and the processing of your application must be completed by the 25th day of that eligibility period.

If you are a medical school graduate whose medical education credentials have been primary-source verified by ECFMG; if you are a graduate of a medical school that does not participate in the ECFMG Medical School Web Portal (EMSWP) and your medical education credentials have not been primary-source verified by ECFMG; or if you are a student enrolled in a medical school that does not participate in EMSWP, it typically takes up to three weeks from receipt of a complete application for ECFMG to complete the processing of your application.

If you are a graduate of a medical school that participates in EMSWP and your medical education credentials have not been primary-source verified by ECFMG or if you are a student enrolled in a medical school that participates in EMSWP, ECFMG cannot complete the processing of your application until your medical school verifies your status through EMSWP. ECFMG will make your record available to your medical school and request verification typically within three weeks of receipt of a complete application. The time needed to complete the processing of your application is contingent upon your medical school's response to the EMSWP verification request.

For all applicants, although you can select an eligibility period as late as the 24th day of that eligibility period, there is no guarantee that you will be assigned that eligibility period, since the processing of your application may not be completed by the 25th day of the eligibility period. If your application is not processed in time to assign the eligibility period you select, you will be assigned to the next available eligibility period, based on the date your application is processed. Your assigned eligibility period will not be adjusted to compensate for days that have already passed. The eligibility period assigned to you will be listed on your scheduling permit. You must read the editions of the ECFMG Information Booklet and the USMLE Bulletin of Information that pertain to the eligibility period in which you take the exam.





Item 2. Eligibility Period, Test Center, and Visa Letter (Step 2 CS only)
For additional information on Step 2 CS eligibility periods, test centers, and registration documents, refer to the ECFMG Information Booklet.

2.1 Eligibility Period (Step 2 CS only): Applicants registered for Step 2 CS are assigned a 12-month eligibility period during which they must take the exam. Your eligibility period begins on the date that you are registered for Step 2 CS. Your eligibility period will be listed on your Step 2 CS scheduling permit.

2.2 Test Centers (Step 2 CS only): Test centers for Step 2 CS are located in Atlanta, Georgia; Chicago, Illinois; Houston, Texas; Los Angeles, California; and Philadelphia, Pennsylvania in the United States. Applicants registered for Step 2 CS select their test center, subject to availability, when they schedule their testing appointment. Travel information for each test center can be accessed through the ECFMG and USMLE websites.

2.3 Visa Letter (Step 2 CS only): Applicants traveling to the United States to take Step 2 CS who are neither U.S. citizens nor U.S. lawful permanent residents are responsible for obtaining required travel documents. These documents may include a visa to enter the United States. Upon request, ECFMG provides applicants with a letter that may assist during the process of applying for a visa. The letter indicates that the applicant is registered for Step 2 CS, one of the exams required for ECFMG Certification. The letter also indicates that the applicant is required to travel to the United States to take the exam and provides the date by which the applicant must complete the exam. To request this letter, check the box in Item 2.3. You will be able to print the letter by accessing IWA after completion of the registration process. You should also review current requirements prior to applying for a visa by visiting the websites of the Department of Homeland Security (DHS) at www.dhs.gov and the Department of State at http://travel.state.gov/visa.

Item 3. Testing Region and International Test Delivery Surcharge, if Applicable (Step 1 and Step 2 CK only)
Select a Testing Region from the list. You should refer to the Prometric website for information on specific test centers. Additionally, if you plan to test in Egypt, Hong Kong, India, or Israel, refer to the special information below.

Special Information About Testing in Egypt:
Egypt is in Prometric's Middle East testing region. If you would like to take the exam in Egypt, select Middle East.

Special Information About Testing in Hong Kong:
Hong Kong is in Prometric's Asia testing region. If you would like to take the exam in Hong Kong, select Asia.

Special Information About Testing in India:
India is in Prometric's India testing region. If you would like to take the exam in India, select India.

Special Information About Testing in Israel:
Israel is in Prometric's Europe testing region. If you would like to take the exam in Israel, select Europe.


Item 4. Examinees with Documented Disabilities
Check "Yes" only if you have a documented disability, believe that you are covered under the Americans with Disabilities Act as amended, and are requesting test accommodations for the exam you selected. Checking "Yes" does not constitute an official request. If you are requesting test accommodations, you must refer to the Test Accommodations information on the USMLE website at www.usmle.org and follow the instructions before you submit your application. Note: Evaluation of a request for test accommodations will delay the release of your scheduling permit up to eight weeks.
Step 1 and Step 2 CK: Following a review of a request for test accommodations, the eligibility period you selected in Item 2 will be adjusted, as required, to allow a full three-month eligibility period in which to schedule the exam.
Step 2 CS: You will be assigned a full 12-month eligibility period that begins on the date that the processing of your request for accommodations is completed.


Item 5. Other Examination History and Applicant Number
If you have previously submitted an application to the National Board of Medical Examiners® (NBME®) for a Part or Step examination, you must answer "Yes" to this question, even if you submitted the application under a different name or if you did not take the exam for which you applied.

If you answer "Yes" and you know the Identification Number issued to you, enter the Identification Number in the space provided.

If you have never previously submitted an application to NBME, you should answer "No."

If you do not answer this question accurately, this may result in a finding of irregular behavior. See ECFMG Policies and Procedures Regarding Irregular Behavior in the ECFMG Information Booklet.


Item 6. Name of Applicant
The name shown in Item 6 is the name in your ECFMG record. If this name is no longer your correct and current legal name, you must change the name in your ECFMG record before applying for examination. Follow the instructions in Item 6 on how to have your ECFMG record changed to reflect your correct and current legal name.

When you arrive at the test center on the date of your exam, you must present a dated, unexpired form of government-issued identification that includes your name in the Latin alphabet, signature, and recent photograph (no more than 10 years earlier) (see Acceptable Identification in the ECFMG Information Booklet). If the name on the form of identification you present does not match exactly the name in your ECFMG record, you will not be allowed to take the exam; refer to your scheduling permit for limited exceptions.

Applicants with a Valid Certification of Identification Form on file:
Although the Certification of Identification Form (Form 186) is valid for five years once it is accepted, it must continue to bear your correct and current legal name. If your legal name changes in the future, you will need to complete another Form 186 bearing your correct and current legal name as part of the application process.

Graduates Only: If the name on your medical diploma is not your correct and current legal name, you must submit documentation that verifies that the name on your diploma is or was your name. Do not request the name in your ECFMG record to be changed to the name on your diploma if the name on your diploma is not your correct and current legal name.


Item 7. Contact Information
Enter your mailing address, telephone/fax numbers, and e-mail address. If any of your contact information (including e-mail address) has changed, you can make the necessary changes in this item. This new contact information will be reflected in your ECFMG record after you submit the on-line part of your application and it is processed by ECFMG.

You must provide an e-mail address in this section. ECFMG will use this address to communicate important information, such as confirmation of receipt of your Certification Statement (Form 183) or Certification of Identification Form (Form 186). If you do not have an e-mail address, you cannot apply for examination.

A full and complete mailing address is required in addition to your e-mail address. You should enter the mailing address at which you would like to receive ECFMG correspondence, including your Standard ECFMG Certificate. The three lines for street address and the line for city (if applicable) are case-sensitive. You should use proper case when entering your address. This means you must capitalize only the first letter of each of the words in the address and use lower case for the remainder of the letters. Do not use all capital or all lower case letters.



Item 8. U.S. Social Security Number and/or National Identification Number
If you have a U.S. Social Security Number, enter it in the space provided. If you have been issued a national identification number from a country other than the United States, enter it in the space provided and specify the country that issued it.



Item 9. Date and Place of Birth
The date shown in Item 9 is the date of birth in your ECFMG record. If this is not your correct date of birth, you must change the date of birth in your ECFMG record before applying for examination. Follow the instructions in Item 9 on how to have your ECFMG record changed to reflect your correct date of birth.

Enter the name of the city where you were born, the state/province where you were born (if applicable), and the country where you were born.



Item 10. Gender
The gender shown in Item 10 is the gender in your ECFMG record. If this is not your correct gender, you must change the gender in your ECFMG record before applying for examination. Follow the instructions in Item 10 on how to have your ECFMG record changed to reflect your correct gender.



Item 11. Native Language
Indicate whether your native language is English or a language other than English. If your native language is not English, enter the name of your native language.



Item 12. Other Languages Spoken
If you speak a language or languages other than English at home, indicate the language(s) spoken. Check all that apply. Although you are encouraged to complete this item, providing this information is voluntary. This information will be used for research purposes and will be kept confidential. Choosing a particular answer or answers, or choosing not to answer this question, will not affect the outcome of your application.



Item 13. Citizenship
Select the country of your citizenship at birth, upon entering medical school, and now. Indicate whether you are/have been a U.S. Permanent Resident (Green Card Holder). If you answer “Yes,” enter the year in which you obtained this status.



Item 14. Ethnicity
Select the option(s) that best describe(s) your ethnicity. Select all that apply. Although you are encouraged to complete this item, providing this information is voluntary. This information will be used for research purposes and will be kept confidential. Choosing a particular answer or answers, or choosing not to answer this question, will not affect the outcome of your application.



Item 15 A. Present Employment
Indicate whether you are currently employed. If you answer "Yes," enter the name of the institution/company where you are employed, the institution/company address, the type of position, job title, and the date you started employment at that institution/company. If you are employed as a Physician or Resident/Fellow/House Officer, select your clinical discipline/specialty from the list.



Item 15 B. Postgraduate Medical Training
Indicate whether you have completed a program of postgraduate medical/surgical training. If you answer "Yes," select from the lists the clinical discipline/specialty and the country where you completed the training.



Item 16. The ECFMG® Reporter
Applicants who supply their e-mail addresses to us as part of the exam application process will automatically receive our electronic newsletter, The ECFMG® Reporter. The ECFMG® Reporter provides important information regarding the ECFMG certification process and entry into graduate medical education in the United States. The ECFMG® Reporter may also advise you of services and programs offered by other organizations in connection with the certification process or graduate medical education in the United States.

The ECFMG® Reporter is a free publication. ECFMG will not share The ECFMG® Reporter subscriber database with third parties. Interested individuals can join or leave The ECFMG® Reporter subscriber list or update their e-mail addresses at any time by visiting the ECFMG website at www.ecfmg.org/reporter/index.html or by writing to: Assistant Vice President, Communications & Outreach, ECFMG, 3624 Market Street, Philadelphia, PA, 19104-2685, USA.

If you do not wish to receive The ECFMG® Reporter, check the box in Item 16.





Item 17. Medical Education Status
In some countries, in addition to completing the medical school curriculum, individuals must complete a period of internship and/or social service or fulfill other requirements, such as a thesis or state/national examination, to be eligible for the final medical diploma.

If you are in the process of completing the requirements to be eligible for the final medical diploma, you should indicate you are a "Student."

If you have completed the requirements to be eligible for the final medical diploma, you should indicate you are a "Graduate," regardless of whether your final medical diploma has been issued.



Item 18. Medical School Information
Highlight the country where the medical school from which you graduated or expect to graduate is located and click the "Select" button to view the list of medical schools in that country that are currently listed in the International Medical Education Directory (IMED).

Select the name of the medical school from which you graduated or expect to graduate. The address of the medical school will appear below.

If you are not able to identify your medical school in this list, click "Search" for expanded search options.

If the medical school does not appear in the list, check "Medical School Not Found" and enter the full, official name of your medical school, the country where the school is located, the official address of the medical school, and the name of the university with which the medical school is affiliated (if applicable).

If your medical school assigned you a unique student Identification Number, enter that number. ECFMG will provide your medical school with this number if your medical school participates in EMSWP. This will assist your medical school in identifying you for the purpose of verifying your status.

Also enter your dates of attendance and number of years attended at this school, your graduation date, the date your medical diploma was or will be issued, and the title of the medical degree. Attendance dates should be listed only for the medical school that awarded or will award your medical degree; attendance dates for any other medical schools or institutions that you previously attended should be listed in Items 19 and 20, respectively.

For a list of the degree titles acceptable to ECFMG, refer to the Reference Guide for Medical Education Credentials on the ECFMG website. If you are or were required to complete an internship prior to receiving your medical diploma, enter the start and end dates of your internship. If you are or were required to complete a period of government or social service prior to receiving your medical diploma, enter the start and end dates of your government or social service.



Item 19. Other Medical School(s) Attended
Indicate whether you attended any medical school(s) other than the medical school you entered in Item 18. For institutions other than medical schools, see Item 20.

To add a medical school, click "Add." To edit or delete a medical school, select the medical school from the list and click "Edit" or "Delete." When you have entered all your medical schools, click "Next" to continue.



Item 19 A. Add Other Medical School
Highlight the country where the medical school you previously attended is located and click the "Select" button to view a list of medical schools in that country that are currently listed in the International Medical Education Directory (IMED).

Select the name of the medical school you previously attended. The address of the medical school will appear below.

If you are not able to identify the medical school in this list, click "Search" for expanded search options.

If the medical school does not appear in the list, check "Medical School Not Found" and enter the full, official name of the medical school, the country where the school is located, the official address of the medical school, and the name of the university with which the medical school is affiliated (if applicable).

If this medical school assigned you a unique student Identification Number, enter that number. Also enter the dates of attendance and number of years attended at this school. Attendance dates should be listed for this school only; do not include attendance dates for the medical school that awarded or will award your medical degree.

Indicate whether you transferred credits from this medical school to the medical school that awarded or will award your medical degree.

To add credits, click "Add." To edit or delete credits, select the course from the list and click "Edit" or "Delete." When you have entered all your transfer credits, click "Save" to continue.



Item 19 B. Transfer Credits
For each course for which you transferred credits, list the title of the course, the number of credits earned, whether the course was passed at the medical school at which it was taken, and the date the credits were earned. List the course title exactly as it appears on the official transcript from the medical school at which the course was taken.

You must document these credits at the time of application by submitting two copies of an official transcript from the medical school at which the course was taken. Additional documentation may be required. Please see Transfer Credits in the applicable edition of the ECFMG Information Booklet. You must disclose and document these credits, regardless of when they were earned. Failure to disclose and document these credits may have a number of negative consequences, including delaying exam registration and certification by ECFMG, and may result in a finding of irregular behavior. See information on transfer credits and medical education credentials in the applicable edition of the ECFMG Information Booklet.



Item 20. Other Institution(s) Attended
Enter any institution other than a medical school from which you transferred credits to the medical school that awarded or will award your medical degree. You should only enter this information if the credits you transferred from this institution to the medical school that awarded or will award your medical degree were applied to completion of the requirements for the medical degree.

To add an institution, click "Add." To edit or delete an institution, select the institution from the list and click "Edit" or "Delete." When you have entered all your institutions, click "Next" to continue.



Item 20 A. Add Other Institution Attended
For each institution other than a medical school from which you transferred credits to the medical school that awarded or will award your medical degree, enter the official name and address of the institution from which the credits were transferred.

To add credits, click "Add." To edit or delete credits, select the course from the list and click "Edit" or "Delete." When you have entered all your transfer credits, click "Save" to continue.



Item 20 B. Transfer Credits
For each course for which you transferred credits, list the title of the course, the number of credits earned, whether the course was passed at the institution at which it was taken, and the date the credits were earned. List the course title exactly as it appears on the official transcript from the institution at which the course was taken.

You must document these credits at the time of application by submitting two copies of an official transcript from the institution at which the course was taken. Additional documentation may be required. Please see Transfer Credits in the applicable edition of the ECFMG Information Booklet. You must disclose and document these credits, regardless of when they were earned. Failure to disclose and document these credits may have a number of negative consequences, including delaying exam registration and certification by ECFMG, and may result in a finding of irregular behavior. See information on transfer credits and medical education credentials in the applicable edition of the ECFMG Information Booklet.



Item 21. Clinical Clerkships
The term clinical clerkships refers to that period in your medical education in the clinical disciplines during which, as a medical student, you gained practical experience in hospitals or clinics through rotations, pregraduate internships, etc.

To enter a clinical clerkship, click "Add." To edit or delete a clinical clerkship, select the clinical clerkship from the list and click "Edit" or "Delete." When you have entered all your clinical clerkships, click "Next" to continue.



Item 21 A. Add Clinical Clerkship
For all clinical clerkships, select the clinical discipline from the list, and enter the name of the hospital/clinic, the hospital/clinic address, and the name of the physician who supervised the clinical clerkship. You must also provide the dates of the clinical clerkship.



Item 22. Graduates Only
Medical Diploma

Indicate which of the following statements applies to you.

I have graduated from medical school and have previously submitted to ECFMG photocopies of my medical diploma.

I have graduated from medical school and am enclosing, with my Certification of Identification Form (Form 186), the IWA Document Submission Form (Form 187); the ECFMG Medical Education Credentials Submission Form (Form 344); two copies of the Medical School Release Request (Form 345); two photocopies of my medical diploma with an English translation (if required); and a photograph. If my Form 186 is signed by an authorized official of my medical school, the envelope containing the above-listed documents will be sent to ECFMG directly from the office of that official.

I have graduated from medical school. I have a valid Certification of Identification Form (Form 186) on file, and I am submitting the IWA Document Submission Form (Form 187); the ECFMG Medical Education Credentials Submission Form (Form 344); two copies of the Medical School Release Request (Form 345); two photocopies of my medical diploma with an English translation (if required); and a photograph.

I have graduated from medical school, but my medical diploma has not been issued. With my Certification of Identification Form (Form 186), I am enclosing the IWA Document Submission Form (Form 187); the ECFMG Medical Education Credentials Submission Form (Form 344); two copies of the Medical School Release Request (Form 345); a letter from my medical school that confirms I graduated, have met the requirements to receive my medical diploma, and states the date my medical diploma will be issued (refer to Eligibility for Examination in the ECFMG Information Booklet for the exact language required in this letter); an English translation of the letter (if required); and a photograph. If my Form 186 is signed by an authorized official of my medical school, the envelope containing the above-listed documents will be sent to ECFMG directly from the office of that official.

I have graduated from medical school, but my medical diploma has not been issued. I have a valid Certification of Identification Form (Form 186) on file, and I am submitting the IWA Document Submission Form (Form 187); the ECFMG Medical Education Credentials Submission Form (Form 344); two copies of the Medical School Release Request (Form 345); a letter from my medical school that confirms I graduated, have met the requirements to receive my medical diploma, and states the date my medical diploma will be issued (refer to Eligibility for Examination in the ECFMG Information Booklet for the exact language required in this letter); an English translation of the letter (if required); and a photograph.

Name on Medical Diploma: If the name in your ECFMG record is correct but this name does not match exactly your name as listed on your medical diploma, you must submit documentation that verifies the name on your diploma is or was your name. Do not request the name in your ECFMG record to be changed to the name on your diploma if the name on your diploma is not your correct and current legal name. If you do not provide acceptable documentation that verifies your name, your application will be rejected. Enter your name as it appears on your medical diploma or letter from your medical school.



Item 22. Students Only
Status of Medical School Student

Answer "Yes" or "No" to each question concerning your status as a medical school student. If you answer "No" to either question, you are not eligible for examination.

The minimum eligibility requirements for medical school students are:

To be eligible for Step 1, Step 2 CK, or Step 2 CS, you must be officially enrolled in a medical school located outside the United States and Canada that is listed in the International Medical Education Directory (IMED) of the Foundation for Advancement of International Medical Education and Research (FAIMER®), both at the time that you apply and on your test day. In addition, the "Graduation Years" in IMED for your medical school must be listed as "Current" at the time you apply and on your test day. As soon as you graduate and receive your medical diploma, you must send two photocopies of your medical diploma and one full-face, passport-sized, color photograph to ECFMG (see Medical Education Credentials in the ECFMG Information Booklet). The photograph you send must be current; it must have been taken within six months of the date that you send it. A photocopy of a photograph is not acceptable.

In addition to being currently enrolled as described above, to be eligible for Step 1, Step 2 CK, and Step 2 CS, you must have completed at least two years of medical school. This eligibility requirement means that you must have completed the basic medical science component of the medical school curriculum by the beginning of your eligibility period.

ECFMG reserves the right to reverify with the medical school the eligibility of medical school students who are registered for an exam. If your medical school informs ECFMG that your status has changed, and ECFMG verifies you are no longer eligible for examination, your registration will be canceled. If ECFMG requests reverification of your student status with your medical school after you have taken an examination, your score report will be issued only after reverification of your status has been received by ECFMG.



Item 23. Certification by Applicant
You must read the Certification by Applicant statement and click the check box to indicate that you have read, understood, and agree to the statement. If you do not click the check box, you will not be able to proceed with your application.



Application Summary and Method of Payment
This is a summary of the information you provided in the on-line part of your application. You may want to print a copy of the summary for your reference, however, this is for your records only. This is not a substitute for your application. Do not mail the application summary to ECFMG. The application summary will not be accepted as an exam application.

Read this application summary carefully. This is your last opportunity to make changes or corrections to the information before making payment and submitting the on-line part of your application to ECFMG.

Payment for an on-line application may be made by credit card (Visa, MasterCard, Discover, or American Express) or by electronic check (U.S. bank accounts only). First, indicate whether you are making payment by credit card or by check. Once you enter the payment information as outlined below, you will receive a notification of whether your payment is approved or rejected. If your payment attempt is unsuccessful, you will be able to select another payment option and try again. Once your payment is approved, you will be able to proceed to the final part of the application process, the Certification Statement (Form 183) or Certification of Identification Form (Form 186).

Payments by Credit Card
Before you proceed, make sure you have the credit card information ready. You will be entering our secured payment website and will have a limited amount of time to enter the required information. You must provide the following:
  • Credit card account number
  • Credit card expiration date
  • Cardholder's name
  • Cardholder's U.S. street address or country of residence if cardholder resides outside the United States
  • Cardholder's U.S. zip code (if applicable)
Payments by Electronic Check
Before you proceed, make sure you have the checking account information ready. You should have a check in hand from the account you wish to use. The checking account information you will be required to provide must be from a U.S. banking institution. You will be entering our secured payment website and will have a limited amount of time to enter the required information. You must provide the following:
  • Account holder's name
  • Check number
  • Account holder's e-mail address
  • Account holder's U.S. address (street, city, state, and zip code)
  • American Bankers Association (ABA) routing number, bank account number, and check number (all of the numbers along the bottom of your check)
  • Account holder's U.S. Social Security Number or U.S. Driver's License Number




CERTIFICATION STATEMENT (FORM 183) FOR MEDICAL SCHOOL STUDENTS
If you are a student officially enrolled in a medical school that does not participate in the ECFMG Medical School Web Portal (EMSWP) (or if the medical school information you provided in Item 18 is not sufficient for ECFMG to determine if you are enrolled in a medical school that participates in EMSWP), you will be required to complete a Certification Statement (Form 183). The on-line part of your application will be transmitted to ECFMG only when you click on the link to proceed to the Certification Statement (Form 183).

Your next step is to print the Certification Statement (Form 183). The Certification Statement (Form 183) must be completed by you and certified by an authorized official of your medical school. The official must provide his/her name, official title, and the institution name. The official must affix the institution's seal in the designated section of the Certification Statement (Form 183). Each medical school has been requested to provide ECFMG with a list of the officials authorized by the school to certify Form 183. Your Certification Statement (Form 183) must be certified by an official on this list. Contact your medical school to determine the officials authorized by your medical school for this purpose; ECFMG will not provide this information to applicants. If your form is not signed by an authorized official, it will not be accepted. The Certification Statement (Form 183) must be sent to ECFMG directly from the office of the medical school official who certified the form. If the form is not sent to ECFMG from the office of the medical school official, it will not be accepted. It must be sent to ECFMG as soon as possible, and must be received by ECFMG no later than four months from the date you submit the on-line part of your application. Additionally, the certifying official must have signed the form within four months of its receipt at ECFMG.

USMLE Step 1/Step 2 CK only: Your application does not need to be received in advance of an eligibility period to obtain that eligibility period. To select and obtain an eligibility period, ECFMG must receive the on-line part of your application, the Certification Statement (Form 183), and any other documents required to complete your application by the 24th day of that eligibility period, and the processing of your application must be completed by ECFMG by the 25th day of that eligibility period. It typically takes three weeks from receipt of a complete application for ECFMG to process the application. This means that, although you can select an eligibility period as late as the 24th day of that eligibility period, there is no guarantee that you will be assigned that eligibility period, since the processing of your application may not be completed by the 25th day of the eligibility period. If the processing of your application is not completed in time to assign the eligibility period you select, you will be assigned to the next available eligibility period, based on the date your application is processed. Your assigned eligibility period will not be adjusted to compensate for days that have already passed. The eligibility period assigned to you will be listed on your scheduling permit.



Instructions for Certification Statement (Form 183) for Medical School Students
  • Print a copy of the Certification Statement (Form 183) by clicking your web browser's "Print" button. If a portion of the Certification Statement (Form 183) is cut off on the copy that you print, you will need to adjust the margins under "Page Setup" in your browser. Generally, if you set all margins in your browser to 0.25 inches or 2.5 millimeters, the copy of the Certification Statement (Form 183) you print will be complete.

  • Attach a current, full-face, passport-sized, color photograph to the Certification Statement (Form 183) in the space provided. Use tape or glue. Do not use staples or paper clips. The photograph that you use must be current; it must have been taken within six months of the date that the Certification Statement (Form 183) is sent to ECFMG. A photocopy of a photograph is not acceptable.

  • Sign and date the Certification Statement (Form 183) in the presence of an authorized official of your medical school. The medical school official must sign and date the Certification Statement (Form 183) and provide his/her name, official title, and the institution name. The official must affix the institution's seal in the designated section of the Certification Statement (Form 183). Each medical school has been requested to provide ECFMG with a list of the officials authorized by the school to certify Form 183. Your Certification Statement (Form 183) must be certified by an official on this list. Contact your medical school to determine the officials authorized by your medical school for this purpose; ECFMG will not provide this information to applicants. If your form is not signed by an authorized official, it will not be accepted. The signature of the official must be current; the official must have signed the Certification Statement (Form 183) within four months of the date that it is received at ECFMG. The form must be sent to ECFMG directly from the office of the medical school official who certified the form. If the form is not sent to ECFMG from the office of the medical school official, it will not be accepted.

  • The following must be sent to ECFMG directly from the office of the official who certified the Certification Statement (Form 183):

    1. Original, signed Certification Statement (Form 183).

    2. If applicable, two copies of an official transcript issued by any school or institution from which you transferred credits to the medical school that will award your medical degree (if not previously submitted); official English translation of transcript (if transcript is not in English); and the ECFMG Medical Education Credentials Submission Form (Form 344). See information on transfer credits and medical education credentials in the applicable edition of the ECFMG Information Booklet.

    3. Any additional documents required to complete your application.

    4. A completed IWA Document Submission Form (Form 187) if, in addition to your Certification Statement (Form 183), there are any additional documents required to complete your application.

  • These items must be sent in one envelope to:

    IWA
    ECFMG
    3624 Market Street, 4th Floor
    Philadelphia, PA 19104-2685
    USA


ECFMG must receive the Certification Statement (Form 183) and any additional documents as soon as possible but no later than four months from the date you submit the on-line part of your application. ECFMG must receive the on-line part of your application, the Certification Statement (Form 183), and all required documents to process your application.



CERTIFICATION OF IDENTIFICATION FORM (FORM 186) FOR MEDICAL SCHOOL STUDENTS
If you are a student officially enrolled in a medical school that participates in the ECFMG Medical School Web Portal (EMSWP) and you do not have a valid Certification of Identification Form (Form 186) on file with ECFMG, you will be required to complete a Certification of Identification Form (Form 186). The on-line part of your application will be transmitted to ECFMG only when you click on the link to proceed to the Certification of Identification Form (Form 186).

Your next step is to print the Certification of Identification Form (Form 186). The Certification of Identification Form (Form 186) must be completed by you and certified by an authorized official of your medical school. The medical school official must sign and date the Certification of Identification Form (Form 186) and provide his/her name, official title, and the institution name. The official must affix the institution's seal in the designated section of the Certification of Identification Form (Form 186). Each medical school has been requested to provide ECFMG with a list of the officials authorized by the school to certify Form 186. Your Certification of Identification Form (Form 186) must be certified by an official on this list. Contact your medical school to determine the officials authorized by your medical school for this purpose; ECFMG will not provide this information to applicants. If your form is not signed by an authorized official, it will not be accepted. The Certification of Identification Form (Form 186) must be sent to ECFMG directly from the office of the medical school official who certified the form. If the form is not sent to ECFMG from the office of the medical school official, it will not be accepted. It must be sent to ECFMG as soon as possible, and must be received by ECFMG no later than 12 months from the date you submit the on-line part of your application. Additionally, the certifying official must have signed the form within four months of its receipt at ECFMG.

ECFMG must receive the on-line part of your application, the Certification of Identification Form (Form 186), and any other documents required to complete your application to process your application. To complete the processing of your application, your medical school must verify your status through EMSWP. You will not be registered for examination until your medical school verifies your status.

USMLE Step 1/Step 2 CK only: Your application does not need to be received in advance of an eligibility period to obtain that eligibility period. To select and obtain an eligibility period, ECFMG must receive the on-line part of your application, the Certification of Identification Form (Form 186), and any other documents required to complete your application by the 24th day of that eligibility period, and the processing of your application must be completed by the 25th day of that eligibility period.

ECFMG cannot complete the processing of your application until your medical school verifies your status through EMSWP. ECFMG will make your record available to your medical school and request verification typically within three weeks of receipt of a complete application. The time needed to complete the processing of your application is contingent upon your medical school's response to the EMSWP verification request.

This means that, although you can select an eligibility period as late as the 24th day of that eligibility period, there is no guarantee that you will be assigned that eligibility period, since the processing of your application may not be completed by the 25th day of the eligibility period. If the processing of your application is not completed in time to assign the eligibility period you select, you will be assigned to the next available eligibility period, based on the date your application is processed. Your assigned eligibility period will not be adjusted to compensate for days that have already passed. The eligibility period assigned to you will be listed on your scheduling permit.

Instructions for Certification of Identification Form (Form 186) for Medical School Students
  • Print a copy of the Certification of Identification Form (Form 186) by clicking your web browser's "Print" button. If a portion of the Certification of Identification Form (Form 186) is cut off on the copy that you print, you will need to adjust the margins under "Page Setup" in your browser. Generally, if you set all margins in your browser to .25 inches or 2.5 millimeters, the copy of the Certification of Identification Form (Form 186) you print will be complete.

  • Attach a current, full-face, passport-sized, color photograph to the Certification of Identification Form (Form 186) in the space provided. Use tape or glue. Do not use staples or paper clips. The photograph that you use must be current; it must have been taken within six months of the date that the Certification of Identification Form (Form 186) is sent to ECFMG. A photocopy of a photograph is not acceptable.

  • Sign and date the Certification of Identification Form (Form 186) in the presence of an authorized official of your medical school. The medical school official must sign and date the Certification of Identification Form (Form 186) and provide his/her name, official title, and the institution name. The official must affix the institution's seal in the designated section of the Certification of Identification Form (Form 186). Each medical school has been requested to provide ECFMG with a list of the officials authorized by the school to certify Form 186. Your Certification of Identification Form (Form 186) must be certified by an official on this list. Contact your medical school to determine the officials authorized by your medical school for this purpose; ECFMG will not provide this information to applicants. If your form is not signed by an authorized official, it will not be accepted. The signature of the official must be current; the official must have signed the Certification of Identification Form (Form 186) within four months of the date that it is received at ECFMG. The form must be sent to ECFMG directly from the office of the medical school official who certified the form. If the form is not sent to ECFMG from the office of the medical school official, it will not be accepted.

  • The following must be sent to ECFMG directly from the office of the official who certified the Certification of Identification Form (Form 186):

    1. Original, signed Certification of Identification Form (Form 186).

    2. If applicable, two copies of an official transcript issued by any school or institution from which you transferred credits to the medical school that will award your medical degree (if not previously submitted); official English translation of transcript (if transcript is not in English); and the ECFMG Medical Education Credentials Submission Form (Form 344). See information on transfer credits and medical education credentials in the applicable edition of the ECFMG Information Booklet.

    3. Any additional documents required to complete your application.

    4. A completed IWA Document Submission Form (Form 187) if, in addition to your Certification of Identification Form (Form 186), there are any additional documents required to complete your application.

  • These items must be sent in one envelope to:

    IWA
    ECFMG
    3624 Market Street, 4th Floor
    Philadelphia, PA 19104-2685
    USA


ECFMG must receive the Certification of Identification Form (Form 186) and any additional documents as soon as possible but no later than 12 months from the date you submit the on-line part of your application. ECFMG must receive the on-line part of your application, the Certification of Identification Form (Form 186), and all required documents to process your application.



CERTIFICATION OF IDENTIFICATION FORM (FORM 186) FOR MEDICAL SCHOOL GRADUATES
You will be required to complete a Certification of Identification Form (Form 186) if you do not have a valid Certification of Identification Form (Form 186) on file with ECFMG. The on-line part of your application will be transmitted to ECFMG only when you click on one of the links to proceed to the Certification of Identification Form (Form 186).

There are three Certification of Identification Form (Form 186) options for medical school graduates:

  • "Certification of Identification Form (Form 186) - Certification by Medical School Official," for all medical school graduates

  • "Certification of Identification Form (Form 186) - Certification by Notary Public," for graduates of medical schools that participate in EMSWP and for graduates whose medical education credentials have been primary-source verified by ECFMG

  • "Certification of Identification Form (Form 186) - Certification by Notary Public and Medical School Official," for graduates of medical schools that do not participate in EMSWP and whose medical education credentials have not been primary-source verified by ECFMG

When you have completed the application, you will be able to view the Certification of Identification Form (Form 186) options available to you.

If you complete a "Certification of Identification Form (Form 186) - Certification by Medical School Official" or a "Certification of Identification Form (Form 186) - Certification by Notary Public and Medical School Official," your Form 186 must be sent to ECFMG directly from the office of the medical school official who signed the form. If the form is not sent to ECFMG from the office of the medical school official, it will not be accepted.

If you complete a "Certification of Identification Form (Form 186) - Certification by Notary Public," the form can be sent to ECFMG by you.

In either case, the form must be sent to ECFMG as soon as possible, and must be received by ECFMG no later than 12 months from the date you submit the on-line part of your application. Additionally, the certifying official(s) must have signed the form within four months of its receipt at ECFMG. ECFMG must receive the on-line part of your application, the Certification of Identification Form (Form 186), and all required documents to process your application.

USMLE Step 1/Step 2 CK only: Your application does not need to be received in advance of an eligibility period to obtain that eligibility period. To select and obtain an eligibility period, ECFMG must receive the on-line part of your application, the Certification of Identification Form (Form 186), and any other documents required to complete your application by the 24th day of that eligibility period, and the processing of your application must be completed by ECFMG by the 25th day of that eligibility period.

If you are a graduate of a medical school that participates in EMSWP and your medical education credentials have not been primary-source verified by ECFMG, ECFMG cannot complete the processing of your application until your medical school verifies your status through EMSWP. ECFMG will make your record available to your medical school and request verification typically within three weeks of receipt of a complete application. The time needed to complete the processing of your application is contingent upon your medical school's response to the EMSWP verification request.

This means that, although you can select an eligibility period as late as the 24th day of that eligibility period, there is no guarantee that you will be assigned that eligibility period, since the processing of your application may not be completed by the 25th day of the eligibility period. If the processing of your application is not completed in time to assign the eligibility period you select, you will be assigned to the next available eligibility period, based on the date your application is processed. Your assigned eligibility period will not be adjusted to compensate for days that have already passed. The eligibility period assigned to you will be listed on your scheduling permit.

Follow the instructions below for the Certification of Identification Form (Form 186) option that you select. All items, as described below, must be sent in one envelope to:

IWA
ECFMG
3624 Market Street, 4th Floor
Philadelphia, PA 19104-2685
USA



Instructions for Certification of Identification Form (Form 186) for Medical School Graduates
  • Print a copy of the Certification of Identification Form (Form 186) by clicking your web browser's "Print" button. If a portion of the Certification of Identification Form (Form 186) is cut off on the copy that you print, you will need to adjust the margins under "Page Setup" in your browser and then print a complete copy. Generally, if you set all margins in your browser to 0.25 inches or 2.5 millimeters, the copy of the Certification of Identification Form (Form 186) you print will be complete.

  • Attach a current, full-face, passport-sized, color photograph to the Certification of Identification Form (Form 186) in the space provided. Use tape or glue. Do not use staples or paper clips. The photograph that you use must be current; it must have been taken within six months of the date that the Certification of Identification Form (Form 186) is sent to ECFMG. A photocopy of a photograph is not acceptable.



If you complete a "Certification of Identification Form (Form 186) - Certification by Medical School Official":

  • Sign and date the Certification of Identification Form (Form 186) in the presence of an authorized official of your medical school. The medical school official must sign and date the Certification of Identification Form (Form 186) and provide his/her name, official title, and the institution name. The official must affix the institution's seal in the designated section of the Certification of Identification Form (Form 186). Each medical school has been requested to provide ECFMG with a list of the officials authorized by the school to certify Form 186. Your Certification of Identification Form (Form 186) must be certified by an official on this list. Contact your medical school to determine the officials authorized by your medical school for this purpose; ECFMG will not provide this information to applicants. If your form is not signed by an authorized official, it will not be accepted. The signature of the official must be current; the official must have signed the Certification of Identification Form (Form 186) within four months of the date that it is received at ECFMG. The form must be sent to ECFMG directly from the office of the medical school official who certified the form. If the form is not sent to ECFMG from the office of the medical school official, it will not be accepted.

  • The following must be sent to ECFMG directly from the office of the medical school official who certified the Certification of Identification Form (Form 186):

    1. Original, signed Certification of Identification Form (Form 186).

    2. Two photocopies of medical diploma (if not previously submitted) and official English translation of medical diploma (if diploma is not in English); one current, original, full-face, passport-sized, color photograph (this photograph is in addition to the photograph that applicants must send with the Certification of Identification Form); the ECFMG Medical Education Credentials Submission Form (Form 344); and two copies of the Medical School Release Request (Form 345).

    3. If applicable, two copies of an official transcript issued by any school or institution from which you transferred credits to the medical school that awarded your medical degree (if not previously submitted); official English translation of transcript (if transcript is not in English); and the ECFMG Medical Education Credentials Submission Form (Form 344). If you are also submitting copies of your medical diploma, you only need to submit one Form 344. See information on transfer credits and medical education credentials in the applicable edition of the ECFMG Information Booklet.

    4. Any additional documents that are required to complete your application.

    5. A completed IWA Document Submission Form (Form 187) if, in addition to your Certification of Identification Form (Form 186), there are any additional documents required to complete your application.



If you complete a "Certification of Identification Form (Form 186) - Certification by Notary Public":

  • Sign and date the Certification of Identification Form (Form 186) in the presence of a Consular Official, First Class Magistrate, Notary Public, or Commissioner of Oaths. The official must sign and date the Certification of Identification Form (Form 186) and provide his/her title. The official must affix the official seal in the designated section of the Certification of Identification Form (Form 186). The signature of the official must be current; the official must have signed the Certification of Identification Form (Form 186) within four months of the date that it is received at ECFMG.

  • The following must be sent to ECFMG:

    1. Original, signed Certification of Identification Form (Form 186).

    2. Two photocopies of medical diploma (if not previously submitted) and official English translation of medical diploma (if diploma is not in English); one current, original, full-face, passport-sized, color photograph (this photograph is in addition to the photograph that applicants must send with the Certification of Identification Form); the ECFMG Medical Education Credentials Submission Form (Form 344); and two copies of the Medical School Release Request (Form 345).

    3. If applicable, two copies of an official transcript issued by any school or institution from which you transferred credits to the medical school that awarded your medical degree (if not previously submitted); official English translation of transcript (if transcript is not in English); and the ECFMG Medical Education Credentials Submission Form (Form 344). If you are also submitting copies of your medical diploma, you only need to submit one Form 344. See information on transfer credits and medical education credentials in the applicable edition of the ECFMG Information Booklet.

    4. Any additional documents that are required to complete your application.

    5. A completed IWA Document Submission Form (Form 187) if, in addition to your Certification of Identification Form (Form 186), there are any additional documents required to complete your application.



If you complete a "Certification of Identification Form (Form 186) - Certification by Notary Public and Medical School Official":

  • Sign and date Part A of the Certification of Identification Form (Form 186) in the presence of a Consular Official, First Class Magistrate, Notary Public, or Commissioner of Oaths. The official must sign and date the Certification of Identification Form (Form 186) and provide his/her title in Part A. The official must affix the official seal in the designated section of Part A of the Certification of Identification Form (Form 186). The signature of the official must be current; the official must have signed the Certification of Identification Form (Form 186) within four months of the date that it is received at ECFMG.

  • You must then send the Certification of Identification Form (Form 186) to your medical school. An authorized official of your medical school must sign and date Part B of the Certification of Identification Form (Form 186). The official must provide his/her name, official title, and the institution name. The official must affix the institution's seal in the designated section of Part B of the Certification of Identification Form (Form 186). Each medical school has been requested to provide ECFMG with a list of the officials authorized by the school to certify Form 186. Your Certification of Identification Form (Form 186) must be certified by an official on this list. Contact your medical school to determine the officials authorized by your medical school for this purpose; ECFMG will not provide this information to applicants. If your form is not signed by an authorized official, it will not be accepted. The signature of the official must be current; the official must have signed the Certification of Identification Form (Form 186) within four months of the date that it is received at ECFMG. The form must be sent to ECFMG directly from the office of the medical school official who signed the form. If the form is not sent to ECFMG from the office of the medical school official, it will not be accepted.

  • The following must be sent to ECFMG directly from the office of the medical school official who completed Part B of the Certification of Identification Form (Form 186):

    1. Original, signed Certification of Identification Form (Form 186). Please note that the form must be signed by both a Consular Official, First Class Magistrate, Notary Public, or Commissioner of Oaths and an authorized official of your medical school.

    2. Two photocopies of medical diploma (if not previously submitted) and official English translation of medical diploma (if diploma is not in English); one current, original, full-face, passport-sized, color photograph (this photograph is in addition to the photograph that applicants must send with the Certification of Identification Form); the ECFMG Medical Education Credentials Submission Form (Form 344); and two copies of the Medical School Release Request (Form 345).

    3. If applicable, two copies of an official transcript issued by any school or institution from which you transferred credits to the medical school that awarded your medical degree (if not previously submitted); official English translation of transcript (if transcript is not in English); and the ECFMG Medical Education Credentials Submission Form (Form 344). If you are also submitting copies of your medical diploma, you only need to submit one Form 344. See information on transfer credits and medical education credentials in the applicable edition of the ECFMG Information Booklet.

    4. Any additional documents that are required to complete your application.

    5. A completed IWA Document Submission Form (Form 187) if, in addition to your Certification of Identification Form (Form 186), there are any additional documents required to complete your application.




 
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