SCCMA and Stanford Transformative Experience in Medicine (SSTEM)

SCCMA and Stanford Transformative Experience in Medicine (SSTEM)

2022 Fall Application
Introduction: The SCCMA and Stanford Transformative Experience in Medicine (SSTEM) program was created in 2008 by the Santa Clara County Medical Association (SCCMA) and Stanford medical students to address the widespread physician shortage. During the 3 day program hosted on Saturdays in September, students are introduced to a day in the life of a physician. SCCMA physicians present on how to become a physician, what they love about their specialty and why they chose it, and how to balance their professional lives with personal.

Stanford medical students will lead participants in hands-on activities such as taking vitals, suturing and knot tying, as well as animal organ dissections. The final day is a tour of the Stanford campus, visiting the Anatomy lab, and a chance to ask a medical student panel for advice and tips on how to get into medical school.

The goal is to provide inspiration and resources to assist high school students on their path to medical school and ultimately encourage them to come back to serve their community.

Eligibility: Junior and senior high school students that reside in Santa Clara County who are interested in becoming physicians. Students must arrange their own transportation to the scheduled events.

Application Instructions: We recommend you review the questions, work on your answers in a separate document, and then import your answers into this application. This is especially advised for short responses and essays. Your answers will not be saved. Please do not insert answers until you are ready to submit. If you feel like there is an error in your submission, please contact us.

Dates/Time: 3 Saturdays in September
1. September 10 at SCCMA Office Building (San Jose) - 8:30 AM to 12:30 PM
2. September 17 at SCCMA Office Building (San Jose) - 8:30 AM to 12:30 PM
3. September 24 at Stanford Campus - 8:30 AM to 1:00 PM
Students must commit and attend all Saturday meetings at the SCCMA Office building in San Jose and Stanford Campus. Transportation is not provided by SCCMA so travel arrangements must be made.

If you have any questions at all, please email us at Angelica@sccma.org

This application is due August 31, 2022.
Name*

First NameLast Name
Email*
example@example.com
Phone
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Gender Identity
Race and Ethnicity
Date of Birth

MonthDayYear
Date
Emergency Contact Name and Number
example: Mother - Emily Fields (408) 998-8850
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If selected for the program, do you hold yourself responsible for attending and participating in ALL scheduled events:
Dates:
September 10 at SCCMA Office Building (San Jose) - 8:30 AM to 12:30 PM
September 17 at SCCMA Office Building (San Jose) - 8:30 AM to 12:30 PM
September 24 at Stanford Campus - 8:30 AM to 1:00 PM
Please indicate below:*

Yes, if selected for the program, I commit to attending and participating in all scheduled events.No, I have other commitments on one or more of the above dates that cannot be changed (please explain)

EDUCATION
High School Name*
Grade Level (9-12)*
Cumulative Unweighted GPA (No extra grade points for honors and AP classes; 4.0 scale)
Cumulative Weighted GPA (Including extra grade points for honors and AP classes; 4.0 scale)

Parent/Guardian Background
Parent/Guardian 1
Highest Completed Education LevelYour answer
Job Occupation
Parent/Guardian 2
Highest Completed Education LevelYour answer
Job Occupation

Household Information
Combined Parent's Yearly Income (Before Taxes)*

Less than $30,000$30,000- $50,000$80,000- $120,000$120,000-$150,000More than $150,000
Total Household Size (Including yourself)

Extracurricular Activities (if applicable)
Title of Activity
Role (President, participant, sport, etc)
Description (1-2 Sentences)

Extracurricular Activity 2 (if applicable)
Title of Activity
Role (President, participant, sport, etc)
Description (1-2 Sentences)

Extracurricular Activity 3 (if applicable)
Title of Activity
Role (President, participant, etc)
Description (1-2 Sentences)

Short Essay Questions
For the following questions, please review the prompt and work on your answers in a document that can be saved (i.e. pages or word document). Once you are content with your answers (grammar, answering the prompt, etc.), you can copy and paste into this form.

This website cannot save your responses. Only type them when you are ready to submit.
Please describe your motivation for applying to SSTEM and what you hope to gain from participating in this program (1,000 character limit).*

0/10000
If you have any past exposure to medicine, please describe it. Include formal (e.g. shadowing or volunteering) as well as informal exposure (e.g. your relationships with family friends or relatives who are doctors, or your experience interacting with sick or hospitalized friends or relatives). If you don’t have experiences like those listed above, please explain why you are interested in learning about medicine (500 character limit).*

0/500

Additional Information
Have you applied to SSTEM in the past?

YesNo
Have you participated in SSTEM in the past?

YesNo
How did you hear about SSTEM?
Should be Empty:

SCCMA and Stanford Transformative Experience in Medicine (SSTEM)

Parent/Guardian 1

Parent/Guardian 2