DEADLINE: JUNE 18 - Florida ...

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CLASS OF 2022 COMPLIANCE INSTRUCTIONS PACKET

              MANDATORY PRE-MATRICULATION COMPLIANCE REQUIREMENTS
                    All compliance requirements listed below MUST be submitted by the listed due date.
                          Many of the following requirements need to be submitted to CastleBranch.
         CastleBranch, is a third party web-based company that is contracted by the College of Medicine to assist with
                      compliance management, medical student record tracking and document storage.

CONSEQUENCES OF NOT COMPLETING THE COMPLIANCE REQUIREMENTS BY THE DUE DATE INCLUDE:
    A hold will be placed on your registration. You will not be able to attend orientation, classes or clinical activities.
    Financial aid disbursements will be delayed.
    Students who complete the compliance requirements past the listed deadlines WILL NOT BE ALLOWED TO PARTICIPATE
      IN THE WHITE COAT CEREMONY.

 DEADLINE: JUNE 18
                                                                                                         TO BE COMPLETED IN
                                                 TASK
                                                                                                           CASTLEBRANCH
 FOOD RESTRICTIONS/PREFERENCES
 Please complete the Google Form if you have any food restrictions and/or preferences (e.g.,
 vegetarian, gluten free, kosher, etc.).
                                                                                                                 NO

 WHITE COAT CEREMONY AND RECEPTION RSVP
 Please complete the Google Form.

 The Class of 2022's family and friends are invited to the White Coat Ceremony and Reception on
 Friday, August 10, 2018 at 1:45 p.m. in the Carole and Barry Kaye Performing Arts Auditorium on
 Florida Atlantic University’s Boca Raton campus.                                                                NO
 Please note - Students will receive printed invitations and an e-invitation that they can either hand
 out or email to their family and friends. Students should only respond once on behalf of their guests
 using this form. Guests do not need to respond individually.

 WHITE COAT & NAME BADGE ORDER
 Please complete the Google Form.                                                                                NO

 OPEN YOUR MyFAU STUDENT ACCOUNT
 If you already have a MyFAU account, no action is necessary. For those new to FAU and who have
 never activated their FAU account, follow these instructions:

 1. Go to the FAUNet ID Lookup Tool at: https://banner.fau.edu/FAUPdad/lwgkznum.P_DisplayID                      NO
 2. Enter your Social Security Number (or your FAU-assigned Z number if you have one) and click
 "submit".
3. Record your FAUNet ID and Z number (Your Z number is generated by the University and is your
student ID number). If you are able to receive this information, please go to Step 5.

4. If you are unable to receive your Z number from the link above, please go directly to:
accounts.fau.edu
            4a. Select ‘Forgot Your FAUNet ID’ and proceed by entering your first name, last name and
            D.O.B
            4b. Your FAUNet ID will be seen and there will be a link below your FAUNet ID that asks you
            to proceed and register your account. You will then be able to activate your account. After
            this is completed, go to Step 6.
5. Please go to accounts.fau.edu and select ‘Activate Your FAUNet ID’ and follow the steps provided.
After your account is activated, go to Step 6.
6. Then login to http://myfau.fau.edu

Spend some time becoming familiar with the various tabs and features and update your account with
your current contact information. If you need help, contact the MyFAU helpdesk at
http://www.fau.edu/helpdesk or call 561-297-3999. You can also contact the helpdesk at their toll-
free number 866-885-8325.

DEADLINE: JUNE 29
                                                                                                          TO BE COMPLETED IN
                                                 TASK
                                                                                                            CASTLEBRANCH
FLORIDA RESIDENCY FORM & DOCUMENTS
The Office of Admissions will be contacting you regarding your Florida Residency paperwork. Please
contact the Office of Admissions at mdadmissions@health.fau.edu or call 561-297-0440 with any                    NO
questions regarding this requirement.

TRANSCRIPTS
Arrange for final, official transcripts to be sent to the Office of Admissions from every college and
university you have attended in North America. We cannot obtain your final, official transcripts from
AMCAS, so you will need to arrange to have a new set of final, official transcripts mailed directly to           NO
the Office of Admissions at Charles E. Schmidt College of Medicine Office of Admissions, 777 Glades
Road, ME104-Rm 236, Boca Raton, FL 33431.

DEADLINE: JULY 6
                                                                                                          TO BE COMPLETED IN
                                                 TASK
                                                                                                            CASTLEBRANCH
AUTHORIZATION REGARDING CRIMINAL BACKGROUND CHECKS, DRUG TESTING AND
EDUCATION RECORDS FOR FIRST YEAR (M1) FAU MEDICAL STUDENTS 2018-2019
Download this form from CastleBranch, print form, and sign it. Make a copy for your records and                  YES
upload it to your CastleBranch profile. ALL form fields must be filled out for form to be approved.
BACKGROUND CHECK- DRUG TEST- FINGERPRINTING
All first year (M1) medical students are required to complete a background check, drug test, and
fingerprinting. Students who do not complete these requirements will not be allowed to participate in
patient-related, clinical activities, which occur during all 4 years of medical school. We have
contracted with a third party, CastleBranch, to perform and oversee the mandatory background
check, drug test, and fingerprinting. Instructions on how to access the CastleBranch website and
order the background check, drug test, and fingerprinting will be sent to you by the College of
Medicine. Instructions on how to complete your background check, fingerprinting and drug testing
                                                                                                           YES
will be populated in your CastleBranch profile after you order the appropriate package.

Students are responsible for the cost of background testing.
Please review the FAU COM Policy on Student Criminal Background Checks and Drug Screening for
further information.

MANDATORY PHYSICAL EXAMINATION VERIFICATION FOR FIRST YEAR (M1) FAU MEDICAL
STUDENTS 2018-2019
Print this form and bring it with you to your mandatory physical examination. This form must be
completed and signed by a Physician (MD, DO), ARNP or Physician Assistant. Please have your medical        YES
provider include their credentials with their signature. Make a copy for your records and upload it to
your CastleBranch profile. ALL form fields must be filled out for the form to be approved.

MANDATORY IMMUNIZATIONS FORM FOR FIRST YEAR (M1) FAU MEDICAL STUDENTS 2018-
2019
This form must be filled out and submitted for EACH immunization requirement listed on
CastleBranch. If the form is completed in its entirety, you will still download the completed form for
every requirement. The form MUST be signed, dated and stamped by a Physician (MD, DO), ARNP or
Physician Assistant. IMPORTANT: Depending on your immunization status, you may be required to
return to a healthcare practitioner for additional vaccines in a series. The Physician (MD, DO), ARNP
or Physician Assistant must re-sign, date and stamp next to the new requirement that was added to
                                                                                                           YES
your form after initial signoff at the bottom of the form. Your medical provider must include their
credentials with their signature.

*Please note FAU requires all medical students to complete a separate form for FAU Immunization
Office. Bring BOTH forms to your appointment. See details below.

ADDITIONAL REQUIRED IMMUNIZATION PAPERWORK FOR FAU IMMUNIZATIONS OFFICE
In addition to the College of Medicine MANDATORY IMMUNIZATIONS FORM FOR FIRST YEAR (M1)
FAU MEDICAL STUDENTS 2018-2019 form on CastleBranch, all new M1 students are also required to
submit the following University form (http://www.fau.edu/shs/PDFs/Immunization_Form.pdf) to the
FAU Immunization Office.

Fill out the top portion with personal information and Parts A, B, and C. Since a physician signature is
needed for part C, you should also bring this form with you when you visit your doctor to complete
the other listed requirements that need a healthcare practitioner’s signature. This way, your doctor
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will be able to sign off on all three forms.

You can either fax (561-297-2769), email (immunization@fau.edu), or drop off this University form to
the FAU Immunization Office in person (777 Glades Rd, Bldg. SU 80, Rm 114).

We will not be able to register you until the FAU central Immunization Office receives this additional
form and clears you for registration.
MANDATORY HEPATITIS B FORM FOR FIRST YEAR (M1) FAU MEDICAL STUDENTS 2018-2019
3 doses of vaccine followed by a QUANTITATIVE Hepatitis B Surface Antibody (titer) preferably drawn
4-8 weeks after 3rd dose. If negative, complete a second Hepatitis B series followed by a repeat titer. If
Hepatitis B Surface Antibody is negative after a secondary series, additional testing including Hepatitis
B Surface Antigen should be performed. See: ht1p:/Jwww.cdc.gov/mmwr/pdf/rr/rr6210.pdf for more
information.                                                                                                 YES
MANDATORY TUBERCULOSIS SCREENING FORM FOR FIRST YEAR (M1) FAU MEDICAL
STUDENTS 2018-2019
Documentation of a two-step PPD skin test within the last 6 months is required. For the TB testing,
you will need to have 2 separate PPDs placed and read 1-3 weeks apart if your first PPD is negative.
This is called 2-Step TB Testing. Each PPD needs to be read 48-72 hours after placement. Therefore, to
complete 2-Step TB Testing, you will need to schedule a total of 4 appointments. Please be sure to
schedule them accordingly. If your 1st PPD is positive or you have a history of a positive PPD, you will
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need to follow up with your physician to complete the work up, including a chest x-ray. Print the form
and bring it with you to your PPD testing. This form must be completed and signed by a Physician
(MD, DO), ARNP or Physician Assistant. Make a copy for your records and upload it to your
CastleBranch profile. Your medical provider must include their credentials with their signature. ALL
form fields must be filled out for forms to be approved.

MANDATORY HEPATITIS B VACCINATION FORM FOR FIRST YEAR (M1) FAU MEDICAL
STUDENTS 2018-2019
3 doses of vaccine followed by a QUANTITATIVE Hepatitis B Surface Antibody (titer) preferably drawn
4-8 weeks after 3rd dose. If negative, complete a second Hepatitis B series followed by a repeat titer. If
Hepatitis B Surface Antibody is negative after a secondary series, additional testing including Hepatitis    YES
B Surface Antigen should be performed. See: ht1p:/Jwww.cdc.gov/mmwr/pdf/rr/rr6210.pdf for more
information. This form must be completed, signed, and dated by a Physician (MD, DO), ARNP or
Physician Assistant. Your medical provider must include their credentials with their signature.

HEALTH AND SAFETY AGREEMENT FOR FIRST YEAR (M1) FAU MEDICAL STUDENTS 2018-
2019
Print this form and sign it. Make a copy for your records and upload it to your CastleBranch profile.        YES
ALL form fields must be filled out for form to be approved.

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA) TUTORIALS
  1) Click on this link: https://canvas.fau.edu/enroll/9EFMAG
  2) You will be taken to the FAU login page where you will need to sign in with your FAU credentials.
  3) After logging in, you will be taken to the Enroll in COM - Bloodborne Pathogens and
     Formaldehyde Training page. Click the “Enroll in Course” button.
  4) After successfully enrolling, click the “Go to the Course” button to proceed to the course.

Instructions: This training/tutorial is divided into four modules. Please progress through each in
order. When you complete each module, you will be taken back to the Menu page, and a checkmark               YES
will appear to indicate that you have completed the module. You may then proceed to the next
module.
At various points in each module, you may be provided with Knowledge Check questions to ensure
that you have understood the material. You will receive multiple attempts at each question.
Once you have completed all four modules, you will be prompted to attempt the Quiz.
You will need to successfully complete the quiz and submit the completion form in order receive
credit for completing the tutorial. Once you have submitted the form, take a screenshot of the page
showing your completion, including the date and time, and upload to CastleBranch.
DISABILITY INSURANCE
You are required to have disability insurance while enrolled in school. If you are not covered under
your parents’ disability insurance plan, a spouse’s disability insurance plan, or your own disability
insurance plan, you may sign up for the FAU-sponsored disability insurance.

If you are already covered under another disability insurance plan that is not the FAU-sponsored
disability insurance plan, please provide proof of coverage in your CastleBranch profile under this
requirement.
                                                                                                           YES
To sign-up for the disability insurance through FAU, please go to the direct link for enrollment below:
www.insuranceforstudents.com/faucom

Please note: You would need to select 2018 – 2019 School Year Group Long-Term Disability. You will
not receive a card for Disability Insurance. Please check the box to verify that you have purchased the
Disability Insurance. This plan will expire one year after the date of purchase. Please check the box to
verify that you have purchased the Disability Insurance.

HEALTH INSURANCE
You are required to have health insurance while enrolled in school. If you are covered under your
parents’ health insurance plan, a spouse’s health insurance plan, or have your own health insurance
plan; you must submit the Annual Health Insurance Verification Form for First Year (M1) FAU Medical
Students 2018-2019 found on CastleBranch. In addition, you must submit a copy of your health
insurance card to your CastleBranch profile under this requirement.

If you are not covered under your parents’ health insurance plan, a spouse’s health insurance plan, or
have your own health insurance plan; you may sign up for the FAU-sponsored Health Insurance Plan.
This plan will expire one year after the date of purchase.

To sign-up for the Health Insurance through FAU, please go to the direct link for enrollment below:
                                                                                                           YES
www.insuranceforstudents.com/faucom

Please Note: You would need to select 2018 – 2019 School Year FAU college of Medicine Student
Health Plan.

Please Note: your Annual Health Insurance Verification Form for First Year (M1) FAU Medical
Students 2018-2019 onto CastleBranch. In addition, proof of purchase or a receipt/email confirmation
from the Insurance for Students, Inc. office should be uploaded to your CastleBranch profile under
this requirement.

PHOTO/VIDEO RELEASE FORM
Please download, sign, print, scan, and re-upload your FAU Photo/Video Release Form to this
requirement in your CastleBranch profile. ALL form fields must be filled out for the form to be            YES
approved.

MASQUE SURVEY
Please download, print, complete, scan, and re-upload your MASQUE Survey to this requirement in
your CastleBranch profile. ALL form fields must be filled out for the form to be approved.
                                                                                                           YES

M1 MEDICAL STUDENT SURVEY
The M2 Class has created a survey to assist in assigning each M2 to an incoming M1 for an M1-M2            YES
Students Connect session during Orientation. Please download, print, complete, scan, and re-upload
your Medical Student Survey to this requirement in your CastleBranch profile. ALL form fields must be
filled out for the form to be approved.
BIOSKETCH
During Orientation Week you will meet your assigned Learning Community Advisor (LCA) along with
the 15 students in your group. To help the LCAs get to know you, we ask that you submit a short
biosketch – click here to see a sample. This information is not used for assignment purposes or to
match student interests within groups. Assignments are done randomly, sorted only by gender. The
biosketches will be provided only to your LCA and not to anyone else.
Please answer the following questionnaire below and email it
to COMOSACompliance@health.fau.edu with the subject "Biosketch". Please also attach a recent
close-up professional photo or headshot.
Name:                                                                                                            NO
I was born in:
My undergraduate college(s) was (were):
My college major(s) was (were):
Other things I'd like you to know about me:

We will provide your LCA's with the information you submit. We will use your secondary application
picture, unless you send us a different picture that you prefer. For the section "Other things I'd like
you to know about me," provide a few key things you'd want someone to know the first time he or
she meets you – such as hobbies, pets, family, previous careers, athletics, other special interests. It
can be as written as sentences (like the example) or phrases. We will not edit what you write!

ACKNOWLEDGEMENT OF RECEIPT OF HANDBOOK
Review the Florida Atlantic University Charles E. Schmidt College of Medicine Medical Student
Handbook. Please download, print, complete, scan, and re-upload your M1 Receipt of Handbook                      YES
2018-2019 Form to your CastleBranch profile. ALL form fields must be filled out for the form to be
approved.

DEADLINE: JULY 13
                                                                                                          TO BE COMPLETED IN
                                                 TASK
                                                                                                            CASTLEBRANCH
M1 KOLB LEARNING STYLE INVENTORY – Email to mlizotte@health.fau.edu
                                                                                                                 NO
WELLNESS SURVEY – Complete in Survey Monkey. The Office of Student Affairs will email you the link.              NO
VARK INVENTORY ONLINE SURVEY – Complete in Survey Monkey
                                                                                                                 NO

DEADLINE: JULY 20
                                                                                                          TO BE COMPLETED IN
                                                 TASK
                                                                                                            CASTLEBRANCH
FINANCIAL AID AWARD PACKAGE
Financial Aid Offers are made to all eligible students who have completed a Free Application for
Federal Student Aid (FAFSA). You must accept the funding you wish to receive no later than Friday,               NO
July 20, 2018 to ensure it is available to disburse on Tuesday, August 7, 2018. If you accept a Federal
Direct Student Loan, you must complete both Loan Entrance Counseling and the Master Promissory
Note at https://www.studentloans.gov before your funds can disburse. This is a one-time
requirement while enrolled in the COM. If you will also borrow through the Graduate PLUS Loan
Program, you will need to complete Entrance Loan Counseling before the first disbursement of your
first Graduate PLUS Loan. This program requires you to complete a new application each year. You
also want to verify that your Direct Deposit information has been entered correctly (through your My
FAU account) to prevent a delay in receipt of funds for your living expenses. If you have questions or
need assistance, please contact Ellen M. Gomes, Director of Medical Student Financial Aid, at
gomese@health.fau.edu or mdfinancialaid@fau.edu.

DEADLINE: AUGUST 6
                                                                                                         TO BE COMPLETED IN
                                                TASK
                                                                                                           CASTLEBRANCH
HMX MODULES –
Harvard Medical School HMX Modules are due prior to your first day of orientation. You will
receive an email from the Office of Student Affairs with more information.
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      OTHER REMINDERS AND ACTION ITEMS:
         Please review Academic materials prior to Orientation Week
          • Year 1 Core Curriculum Textbooks
          • Preparation for Biochemistry

           M1 Orientation begins on Monday, August 6th at 8:00 AM in the
            Charles E. Schmidt College of Medicine Lobby
            FAU Boca Raton Campus, Building BC 71
              ATTENDANCE IS MANDATORY
              Dress Code for Orientation Week: Professional
              Men should wear a shirt, tie, long pants, socks, and hard-soled shoes. Women should wear dresses or
              skirts of medium length or professional style slacks.

           Check out your M1 Orientation Website!
              Please review the Orientation website. We encourage you to visit this page often for information
              about Orientation and other College of Medicine updates prior to Orientation Week. We will email
              you to let you know of any special additions to the page that may require your immediate attention.
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