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https://www.aecom.yu.edu/admissions/admissionApplication.asp
Although they do say that you shouldnt send it until they let you know that they have received you primary.
they ask for some personal info and this list of questions:
If you check "Yes" for any of the following, you will be provided a text box so that you may provide a detailed response. I have taken time off between high school and college
(explain your activities in detail, and your reasons for taking time off, and include dates.) No Yes
I have taken time off during my undergraduate years
(explain your activities in detail, and your reasons for taking time off, and include dates.) No Yes
I have taken off at least a year since college graduation
(explain your activities in detail, and your reasons for taking time off, and include dates.) No Yes
I plan to take off this year, after just having graduated, while I make application to medical school
(explain what you plan to do this year and please provide confirmation of your plans when they are complete) No Yes
I have applied to medical school previously
(please list schools and year of application) No Yes
I have submitted an AMCAS application to Einstein previously (Please keep in mind that if you completed two prior applications, you are ineligible for reapplication.)
(please indicate whether you completed the application process for Einstein, and list years applied) No Yes
I am presently enrolled in the Sue Golding Graduate Division
(please indicate the year you enrolled, when you plan to take your qualifying examination, and the name of your mentor/department. It is required that your mentor write a letter of recommendation on your behalf.) No Yes Year Enrolled: I plan to take my qualifying examination in:
Mentor/Department:
I am presently enrolled as an undergraduate student at Yeshiva University No Yes I will graduate in / MM/YYYY
I had been accepted to medical school previously but chose not to matriculate
(please indicate the name of the school, the year, and your reasons for not matriculating) No Yes
I had been enrolled previously in a medical school
(please indicate the name of the school, the dates of your enrollment, and your reason for leaving) No Yes
I have not completed the pre-medical requirements
(please indicate what courses you are missing, and when and where you plan to complete them) No Yes
I will not have a Baccalaureate Degree at the time I matriculate in medical school
(please indicate why you will not have your Degree) No Yes
I am presently holding a deferred enrollment to a medical / professional school
(please indicate where you are holding a deferral and why you are applying to Einstein now) No Yes
I have received a grade of "F" during my college / graduate school years
(please indicate the name of the course and the reason for the failure) No Yes
I have been subject to a disciplinary action while in school
(please indicate the reason for the action and how the disciplinary action affected you) No Yes
I have disciplinary charges pending
(please explain in detail) No Yes
I have been convicted of a crime other than a minor traffic violation
(please explain in detail) No Yes
I expect that there will be criminal charges brought against me which are now pending
(please explain in detail) No Yes
I have been prohibited or suspended from practicing in a professional capacity due to or as a result of alleged misconduct
(please explain in detail)
Although they do say that you shouldnt send it until they let you know that they have received you primary.
they ask for some personal info and this list of questions:
If you check "Yes" for any of the following, you will be provided a text box so that you may provide a detailed response. I have taken time off between high school and college
(explain your activities in detail, and your reasons for taking time off, and include dates.) No Yes
I have taken time off during my undergraduate years
(explain your activities in detail, and your reasons for taking time off, and include dates.) No Yes
I have taken off at least a year since college graduation
(explain your activities in detail, and your reasons for taking time off, and include dates.) No Yes
I plan to take off this year, after just having graduated, while I make application to medical school
(explain what you plan to do this year and please provide confirmation of your plans when they are complete) No Yes
I have applied to medical school previously
(please list schools and year of application) No Yes
I have submitted an AMCAS application to Einstein previously (Please keep in mind that if you completed two prior applications, you are ineligible for reapplication.)
(please indicate whether you completed the application process for Einstein, and list years applied) No Yes
I am presently enrolled in the Sue Golding Graduate Division
(please indicate the year you enrolled, when you plan to take your qualifying examination, and the name of your mentor/department. It is required that your mentor write a letter of recommendation on your behalf.) No Yes Year Enrolled: I plan to take my qualifying examination in:
Mentor/Department:
I am presently enrolled as an undergraduate student at Yeshiva University No Yes I will graduate in / MM/YYYY
I had been accepted to medical school previously but chose not to matriculate
(please indicate the name of the school, the year, and your reasons for not matriculating) No Yes
I had been enrolled previously in a medical school
(please indicate the name of the school, the dates of your enrollment, and your reason for leaving) No Yes
I have not completed the pre-medical requirements
(please indicate what courses you are missing, and when and where you plan to complete them) No Yes
I will not have a Baccalaureate Degree at the time I matriculate in medical school
(please indicate why you will not have your Degree) No Yes
I am presently holding a deferred enrollment to a medical / professional school
(please indicate where you are holding a deferral and why you are applying to Einstein now) No Yes
I have received a grade of "F" during my college / graduate school years
(please indicate the name of the course and the reason for the failure) No Yes
I have been subject to a disciplinary action while in school
(please indicate the reason for the action and how the disciplinary action affected you) No Yes
I have disciplinary charges pending
(please explain in detail) No Yes
I have been convicted of a crime other than a minor traffic violation
(please explain in detail) No Yes
I expect that there will be criminal charges brought against me which are now pending
(please explain in detail) No Yes
I have been prohibited or suspended from practicing in a professional capacity due to or as a result of alleged misconduct
(please explain in detail)
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