Foundations of Medical Education Enrollment Form

Enroll in Foundations of Medical Education for middle and high school students, or request an additional class.

Complete the form below to get started. Enrollment and payment details will follow.

Medical Education

Foundations of Medical Education

$79/month

Grade LevelMiddle and high school

Class Length60-minute virtual classes

FormatVirtual, in-person available upon request

Enrollment is month to month · Join any month

Don't fill this out if you're human:

Contact Information

Your Name *

Email Address *

Phone Number *

Student Information

Student Name *

Student Grade/Age *

Current Educational Setting *

Middle School High School Homeschool Dual Credit Undergraduate Post-baccalaureate Medical Student (M1–M4)

Enrollment

Foundations of Medical Education$79/month

Which months would you like to enroll in? Select all that apply. *

September October November December Request a different class

Estimated totalSelect a month above

Preferred Day/Time (optional)

Additional Class Request (optional)

About Your Student

Tell us about your student’s goals or learning needs

Acknowledgment

I understand that availability and payment instructions will be provided after my submission is reviewed, and that my student’s spot is confirmed once enrollment is finalized. *

After you submit, please allow up to two business days for a personal reply with availability and payment instructions.

✓

Enrollment request received!

Thank you! Dr. Ali will reply personally within two business days with availability and payment instructions.

Questions before you submit? hello@downforlearning.com · 832.620.1210

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