Internal Transfer Checklist

Form Name:Internal Transfer Checklist
Completed By:Program Coordinator
Used When:House officers transfer between LSU programs (New Orleans, Bogalusa, Lafayette, Baton Rouge and Lake Charles)

Ensure all necessary forms and documentation are properly completed.

Direct Questions To:Yolanda Lundsgaard
Form Link:Internal Transfer Checklist 2023.pdf
Appointment Form

Instructions for Completing Form

Enter House Officer and Program information at the top of form.  Attach checklist with documentation and submit to GME Office

Internal Transfer House Officer Packet:

GME Data Sheet

DS 2019 Form

Electronic Documents: 

Academic Year Appointment Packet

FCVS Release Form

LSBME Release Form

Action Items:

Appointment Form

House Officer Transfer & Promote Spreadsheet

PER 3, ePAF (electronic Personnel Action Form/PER 3)

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