A. Applicant Profile
Please limit your answers to 500 words per question.
Travel: Indicate your significant travel experiences and include the circumstances. Optional
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Fun and Diversion: Indicate what you do for fun and diversion (hobbies, special interests, etc.) Optional
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Miscellaneous: Identify any other traits, habits, experiences, interests, etc., that a professor advisor would not normally learn about you. Optional
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Parents: Please provide a brief description of your parents. Optional
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Siblings: Please provide a brief description of your siblings. Optional
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Practice Vision: In what field of medicine do you envision yourself working ten years from now? Optional
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ACT/SAT Scores (if any): Please enter your ACT and SAT scores if you have taken these exams. Optional
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B. Pre-Medical Course Requirements
Choose YES or NO for each of the courses below that you have completed, are currently enrolled, and/or anticipate completing prior to matriculating to medical school.
English (or other writing intensive course): 6 credit hours
Yes
No
College Mathematics (Statistics is recommended): 6 credit hours
Yes
No
Biology with Lab: 8 credit hours
Yes
No
Organic Chemistry with Lab: 4 credit hours
Yes
No
Physics with Lab: 8 credit hours
Yes
No
Biochemistry (MUST require at least one Organic Chemistry course as a pre-requisite; lab is recommended): 3 credit hours
Yes
No
C. Self-Critical Analysis
Please limit your answer to 500 words per question.
Write a critical analysis of your personal and scholastic qualifications for the study of medicine, the realization of your professional ambitions, and why you are choosing to apply to the FSU COM.
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D. Additional Questions
Please answer the following additional questions.
Did you grow up in a rural area?
Yes
No
If yes, please explain: Optional
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I hereby declare my intent to participate in the courses and associated activities of the FSU COM. I also authorize the use of my personal data file for continuing longitudinal studies of the FSU COM if all personal identification is removed. Information derived from all test procedures, both cognitive and non-cognitive, will be considered confidential and will be part of the personal data file usable only in aggregate data studies.
Yes
No
Have you ever been charged with a violation of the law which resulted in, or is still pending could result in, probation, community service, a jail sentence, or the revocation or suspension of your driver's license (including traffic violations which resulted in a fine of $200 or more)?
Yes
No
If yes, please explain: Optional
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Have you ever been or are you now under investigation for any academic or legal/conduct problems at any undergraduate or graduate institution?
Yes
No
If yes, please explain: Optional
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E. Florida Residency
The Florida State University College of Medicine accepts very few out-of-state applicants. Except under rare circumstances, out of state applicants are considered for admission only if their county of residence is geographically contiguous with the State of Florida, or if they can demonstrate significant ties to the State of Florida.
Is Florida currently your legal State of residence?
Yes No
If Florida is not currently your legal State of residence, has it ever been your legal state of residence?
Yes No
If yes, please briefly explain: Optional
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If no, please briefly describe any significant ties that you have to the State of Florida (Examples of significant ties include- but are not limited to- attending college within Florida; having close relatives who are residents of Florida; spending substantial amounts of time in Florida): Optional
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