Would you mind posting the questions? Thanks!
1.) Are you planning on taking a future MCAT? Yes No
2.) Please describe and explain below any academic problems which you might have had while in college and/or graduate or professional school.
Please include withdrawals, incompletes, poor grades, etc.
(1000 character max)1000
3.) Have you done independent research or study? (We are looking for research that you did outside of the course/classroom requirement) Yes No
4.) Has your education to date been continuous other than vacations? Yes No
5.) Did you graduate in 2012? Yes No
6.) Have you ever withdrawn from or been dismissed from any educational institution or place of
employment for reason of academic or disciplinary misconduct? Yes No
7.) Have you ever been the subject of disciplinary action that did not result
in dismissal from school or place of employment? Yes No
8.) Have you ever been convicted of a criminal offense?
Note: Any clinical training site may screen students in the same manner in which the site screens
employees. Students may be required to have an additional health examination, be tested for drugs
or be fingerprinted for a criminal background clearance before beginning placement. Students who
cannot pass training site clearance requirements may not be able to fulfill the essential requirements
needed to obtain a degree. Yes No
9.) Have you previously met with a University of Maryland School of Medicine
Admissions staff member at an Open House, College Fair, Conference, School visit, etc.? Yes No
10a.) If you are submitting a premedical committee packet please write the name of the college/university.
10b.) If you are submitting individual letters or additional letters outside of the committee packet please list each letter writer separately.
Last Name:
First Name:
Last Name First Name
11.) Course Requirements
***Required Courses Date Completed/To Be Completed English (6 Semester hours) Biological Sciences (8 Semester hours) Inorganic Sciences (8 Semester hours) Organic Sciences (8 Semester hours) Physics (8 Semester hours)
12.) Work Experience
Employer:
Work Description:
Start Date:
End Date:
Presently Employed
Hours Per Week:
Employer Work Description Start Date End Date Hours Per Week
13.) Briefly describe your most important exposure to clinical medicine.
(1500 character max)1500
14.) Briefly describe your most satisfying experience related to community service.
(1500 character max)1500
15.) What does it mean to enter into a profession?
(1500 character max)1500
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