Osteopathic Medicine Scholars Program Application for High School Seniors

Name*

First NameLast Name

Date of Birth*

DayMonthYear

Gender

MaleFemaleOther

When do you plan on starting Undergrad at UPIKE?*

Fall 2026Other

Expected Undergrad Graduation Date from UPIKE

Date

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone*

Mobile

Email*

High School*

Actual or Anticipated Graduation Year*

High School GPA

ACT or SAT Score

High School Rank

In the format "_ of _"

Attach High School Transcript

Upload a File

Attach ACT or SAT Score Report

Upload a File

Have you taken any college courses (Online, In-Person or Dual-Credit)

YesNoI'm currently enrolled in my first.

How many Colleges or Universities have you attended? (Online, In-Person or Dual-Credit)

College or University 1

College Transcript 1

Upload a File

College or University 2

College Transcript 2

Upload a File

College or University 3

College Transcript 3

Upload a File

If you have more than three college transcripts, you may email those directly to KYCOAdmissions@upike.edu

Attach Essay

Upload a File

Science or Math Teacher Letter of Recommendation

Upload a File

High School Administrator Letter of Recommendation

Upload a File

Physician (Preferred) or Non-Family Adult Letter of Recommendation

Upload a File

Are you a Legal US Resident or Citizen?

YesNo

Consent Statement: I understand that the University of Pikeville may not release any information about my academic records or my performance at the University of Pikeville without my personal consent. I further understand that the University of Pikeville may, from time to time, want to use my photograph and/or personal data for publicity purposes for the University.*

I have read the preceding statement and I do not objectI have read the preceding statement and I object

I hereby make application for admission to the University of Pikeville under the terms and conditions set forth in the current catalog. Every statement here is correct to the best of my knowledge. I realize that misrepresentation of any statement will result in reconsideration for admission to the University of Pikeville.

TECHNICAL STANDARDS:
KYCOM must maintain curriculum requirements deemed essential to the education of an osteopathic physician. A candidate for the D.O. degree must have multiple abilities and skills, and be able to perform these standards in a reasonably independent manner. These standards include observation; communication; motor; sensory; strength and mobility; conceptual, integrative, and quantitative; and behavioral and social attributes. Each applicant must read the KYCOM technical standards to ensure s/he has the ability to succeed in a medical curriculum. Technical Standards can be viewed here.

I CERTIFY I HAVE READ, UNDERSTAND, AND AM ABLE TO MEET, WITH OR WITHOUT REASONABLE ACCOMMODATIONS, THE TECHNICAL STANDARDS FOR ADMISSION.

By signing below, I hereby make application for admission to the University of Pikeville Osteopathic Medicine Scholars Program under the terms and conditions set forth in the current catalog. Every statement here is correct to the best of my knowledge. I realize that misrepresentation of any statement will result in reconsideration for admission to the University of Pikeville.

Osteopathic Medicine Scholars Program Application for High School Seniors

Contact Information

High School Information

College/University Information

Essay

Letters of Recommendation

Signature