Pre-Professional Health Sciences Committee Interest Form

If you are interested in beginning the Committee Process for Medical, Dental or Optometry Schools, you must first watch the Junior/Senior Workshop Video 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?*

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