USC Postbaccalaureate Premedical Program Preliminary Application Form
The information you provide on this form will help us make a preliminary evaluation of your eligibility for the program. Eligible students will be officially admitted into the program after the completion and submission of a Graduate Student Application, verification of the information you submit on the application forms, and an interview will be required. If you need additional time to complete your application, please use the Save button at the bottom of the form.
1. Applicant Information
Full Name:
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First Name
Last Name
Birth Date:
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Please select a month
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Please select a year
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Year
E-mail:
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Phone Number:
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-
Area Code
Phone Number
Current Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
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The Gambia
Georgia
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Gibraltar
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Hungary
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Indonesia
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Ireland
Israel
Italy
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Japan
Jersey
Jordan
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Kenya
Kiribati
North Korea
South Korea
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Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Application term desired:
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Fall 2024
Spring 2025
2. Primary Undergraduate Degree
College/University:
*
Major:
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Degree:
*
Bachelor of Science
Bachelor of Art
Graduation month and year:
*
example: June 2022
Cumulative GPA:
*
List any math and/or science courses taken with the course grade achieved (ex: Bio 101, Grade B+):
3. Additional Colleges Attended (if any)
Additional college attended #1
College/University:
Cumulative GPA:
List any math and/or science courses taken with the course grade achieved (ex: Bio 101, Grade B+):
Additional college attended #2
School name:
Cumulative GPA:
List any math and/or science courses taken with the course grade achieved (ex: Bio 101, Grade B+):
Additional college attended #3
College name:
Cumulative GPA:
List any math and/or science courses taken and the course grade achieved (ex: Bio 101, Grade B+):
4. Standardized Test Scores (optional)
Standardized Test Exam:
Test score and breakdown (ex: Critical Reading, Math, and Writing for SAT):
Test date (month and year):
example: June 2020
List any other test, including score and date:
4. References
Letters of Recommendation
Please request letters from two professors who can write about your motivation and readiness to undertake a rigorous program of study in the sciences. Letters from current or recent employers may be submitted instead, if it is inconvenient to obtain letters from former professors.
Reference 1:
*
First Name
Last Name
Reference 1 Email (Your reference will receive an email notification):
*
example@example.com
Reference 2:
*
First Name
Last Name
Reference 2 Email (Your reference will receive an email notification):
*
example@example.com
5. Upload Resume and Statement
Resume/CV
Please upload your resume to this application form.
Resume upload (PDF preferred):
*
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Personal Statement
Please tell us why you wish to pursue medicine as a career. Your personal statement should be 1-2 pages, double-spaced.
Please tell us why you wish to pursue medicine as a career. Your personal statement should be 1-2 pages, single-spaced.
*
Personal statement upload (PDF preferred)
*
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Unofficial transcripts and Other supporting documents
Providing unofficial versions of your transcripts will help expedite your application.
Upload optional supporting documents (multiple files allowed):
Browse Files
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Submit (or save form to submit later)
Application agreement
All required documents must be submitted to postbacc@usc.edu within two weeks of submitting the preliminary application. Unofficial transcripts will be accepted for the review process.
I understand that the information submitted on this form is for preliminary evaluation of my eligibility for the Postbaccalaureate Premedical Program at USC. I may receive program news and updates related to my application consideration. I understand that acceptance into this program requires submission of the official Graduate School Application, verification of information submitted on this form, and an interview.
*
I understand and accept these conditions.
I do not accept these conditions.
USC Postbaccalaureate Program scholarships may be available to applicants who meet specific requirements. I grant permission for the information supplied in this application to be used for scholarship purposes.
*
I understand and accept these conditions.
I do not accept these conditions.
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