1 - Preferred Name: *
2 - Have you previously applied to ARCOM? *
No Yes
3 - Are there any disciplinary actions pending or expected to be brought against you? *
NoYes
4 - Have you ever been under the care of a healthcare provider for drug or alcohol use? *
NoYes
5 - List any significant volunteer, community service and/or mission experiences you have had that is not listed on your AACOMAS application. Provide the organization name, hours/week, duration of experience, as well as a brief desctiption of your duties. *
Please explain
6 - Please tell us about any healthcare experiences you have had that are not listed on your AACOMAS application. Provide organization name, hours/week, duration of experience, and a breif descripton of your duties. *
Please explain
7 - How do you plan to fulfill the ARCOM Mission in your practice as a physician? *
Please explain
8 - What challenges do you expect to personally face most in the next 10 years as a healthcare professional? *
Please explain
9 - How do you expect to overcome these challenges? *
Please explain
10 - Describe an experience where you interacted with a person or people from a different background than you (ability, religion, gender, race, age, socioeconomic status, citizenship/ nationality, sexual orientation). *
Please explain
11 - How did that interaction impact your mindset of the role of a physician? *
Please explain
12 - If you are in a difficult basice science class and feel you are not fully grasping the information given in lecture, how would you alter your study habits or techniques to better understand the material and complete the course successfully? *
Please explain
13 - What is a recent book you read that impacted the way you think about today's world? *
Please type book name
14 - Please explain how this book impacted the way you think about today's world. *
Please explain
15 - How did you hear about ARCOM? *
AACOM ACHE Website AOA College advisor Current ACHE/ARCOM student Family (non-ACHE-student) Friend (non-ACHE-student) Media (TV/Radio/Print material) My primary care physician (D.O.) My primary care physician (M.D.) Other healthcare professional Professional organization Recruitment event/materials at my school Social Media
Select all that apply
Please type your name. *