• Applicant Information

    This form consists of three sections: Applicant Information, Health Care Experience Report, and a Survey of Career Knowledge. If you are not prepared to fill out any section, do not submit the form until you have completed all sections that you have information for. We can only use the first form each applicant submits.
  • Please fill out your M#: M* fields and text.

  • 1. Health Care Experience

    Credit toward the selective admissions process will be awarded to those applicants with employment, volunteer or extensive observation in a human medical care setting (i.e. hospital, physician’s office, nursing home, hospice, outpatient clinic, rehabilitation center) equating to at least 20 completed hours. Please do not report any experience less than 20 total hours or hours that have not yet been completed at time of application.  Please complete the form below to report your prior healthcare experience.  Please list ALL experiences on this form
  • Survey of Career Knowledge

    This section has a maximum score of 11 points. Correct answers will NOT be shown.
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