2024-2025 Big MAMS/Little MAMS Program

Name*

First NameMiddle NameLast Name

Email*

example@example.com

What is your affiliation with PNWU MAMS?*

Current/Incoming MAMS student (Little MAMS)MAMS Graduate (Big MAMS)

What professional program are you interested in attending after MAMS? (example: DO, PA, PT, OT, etc.)*

What kind of learner are you? (visual, auditory, reading and writing, kinesthetic, or a mixture)*

What professional program are you attending and where? (example: DO, PA, PT, OT, at WSU, PNWU, Heritage, etc.)*

Briefly describe challenges you may face (or faced) before being accepted into your professional program of choice:*

What was your undergraduate major, and where did you attend?*

Briefly describe previous career or research experiences you have had:*

Where did you grow up?*

Briefly describe your personality by answering these questions.

OPTIONAL: Here’s a 5-minute personality test if you’d like to use this and share your results. https://www.16personalities.com

List your personality type:*

What are some of your strengths and weaknesses?*

Briefly describe how you handle conflict:*

Briefly describe the kind of Big MAMS you would be suited to work with. How often would you like your Big MAMS to touch base with you? (daily, weekly, monthly, as needed, etc)*

Briefly describe the kind of Little MAMS you would be suited to work with:*

Briefly discuss your interests (Family, Sports, night life, video games, outdoors, etc.):*