If you are interested in beginning the Committee Process for Medical, Dental or Optometry Schools, you must first watch the Junior/Senior Workshop Video or attend the Junior/Senior Workshop before filling out this form.

If you see this don't fill out this input box.

Full Name*

T Number*

Major*

Tech E-Mail*

Pre-Professional Health Interest*What type of professional school are you applying?

Did you attend the Junior/Senior Workshop on September 12, 2023?*

Have you had, or are you enrolled in, Organic Chemistry 2?*

Have you had, or are you enrolled in, BioChemistry?*

Healthcare Experience*What kinds of healthcare experiences/jobs and job shadowing have you had?

Extra - Curricular Activities*What extra-curricular activities have you been involved in? (If none, please type NONE)

Leadership and Volunteer Community Service*What community service have you done and what leadership roles have you had? (If none, please type NONE)

What picture was talked about while discussing the QR Codes?*

Tennessee Technological University, a public institution of higher education created by the laws of the State of Tennessee, is located at 1 William L. Jones Drive, Cookeville,TN 38505 (931-372-3101). Tennessee Tech collects the information you provide to it through its website’s portals, request for information forms, etc. for the purpose fulfilling its mission as required by Tennessee Code Annotated Section 49-8-101(d). Tennessee Tech may share the information you provide with contractors and state or federal authorities if required by law or if necessary to fulfill its stated mission.

Tennessee Tech will store your personal data consistent with its policy on document retention, which can be accessed through the Policy Central portal on this website. If you are a resident of the European Economic Area (“EEA”) and have standing under the General Data Protection Regulation 2016/679 of the European Parliament and of the Council of 27 April 2016, you have the right (i) to request from Tennessee Tech access to and rectification or erasure of personal data or restriction of processing; (ii) to object to processing; (iii) to data portability and (iv) to lodge a complaint with a supervisory authority in the EEA.

By providing personal data to Tennessee Tech, you consent to the processing of your data for the purposes described above.

Experience Tech For Yourself

Visit us to see what sets us apart.

Schedule Your Visit

Health Sciences Career Tracks

Pre-Professional Health Sciences Committee Interest Form