Standardized Patient Application

SOM Home > Clinical Departments > Clinical Skills Center > Standardized Patient Application

Standardized Patient Application

If you live in the Charlottesville area and are interested in being a Standardized Patient or Patient Instructor, fill in the application below. When you have completed the application, click the "Submit" button. You can also print this form and mail to the address below.

Applications are reviewed periodically. Employment with Clinical Skills Center is part-time and temporary. The number of participants is variable and dependent upon the specific needs of the program.  If you have any additional questions, please contact Anne Chapin, Director at (434) 243-9477 or achapin@virginia.edu.

Thank you very much for your interest!

Clinical Skills Center
The University of Virginia School of Medicine
P.O. Box 800863
Charlottesville, Virginia 22903


(Required)
(Required)
Please include city, state, and zip code
Please indicate if you have a message phone with answering machine*
(Required)
/ /

ALL RESPONSES ARE CONFIDENTIAL

NOTE: If your application was sent successfully, you will receive confirmation. If you do not receive this confirmation, it is possible that an error occurred during transmission. Please resubmit your application. If you continue to have problems, contact us.