MetroPAP Application 2017 Metropolitan Physician Associate Program Application I give permission for the faculty and staff in MetroPAP to access any information from my medical school record including AMCAS application, MCAT and Board scores, medical school transcript, and clerkship evaluations. If accepted, I give permission to share this application with my host clinic. If I am selected and accept my placement in MetroPAP, I agree to participate in all aspects and components of the program. I understand that once I accept placement in MetroPAP, Curriculum Affairs will not allow me to change my schedule without prior discussion and approval from the MetroPAP Director. I understand that I am not guaranteed a specific site. I understand I must obtain a passing score for USMLE Step 1 on a timeline acceptable to MetroPAP, pass the MED 7500 clerkship, and not have any incomplete or fail courses on my transcript in order to participate in MetroPAP. By applying, I certify that I am currently in good standing in the Medical School. Full Name: Current Campus: Contact information: Student ID # ________________________________________________ UMN Address ________________________________________________ Preferred Phone ________________________________________________ Advisor's Name ________________________________________________ Upload your CV Birthplace: High School Location: High School Graduation Year: Undergraduate School (Name and location) Undergraduate GPA Undergraduate Major MCAT Score Special Interests, Hobbies, Extracurricular Activities: Scheduling: Do you have any commitments that could impact your schedule between May 2018 and June 2019? Include personal, military, educational, or professional commitments.
MetroPAP Application 2017 Metropolitan Physician Associate Program Application I give permission for the faculty and staff in MetroPAP to access any information from my medical school record including AMCAS application, MCAT and Board scores, medical school transcript, and clerkship evaluations. If accepted, I give permission to share this application with my host clinic. If I am selected and accept my placement in MetroPAP, I agree to participate in all aspects and components of the program. I understand that once I accept placement in MetroPAP, Curriculum Affairs will not allow me to change my schedule without prior discussion and approval from the MetroPAP Director. I understand that I am not guaranteed a specific site. I understand I must obtain a passing score for USMLE Step 1 on a timeline acceptable to MetroPAP, pass the MED 7500 clerkship, and not have any incomplete or fail courses on my transcript in order to participate in MetroPAP. By applying, I certify that I am currently in good standing in the Medical School. Full Name: Current Campus: Contact information: Student ID # ________________________________________________ UMN Address ________________________________________________ Preferred Phone ________________________________________________ Advisor's Name ________________________________________________ Upload your CV Birthplace: High School Location: High School Graduation Year: Undergraduate School (Name and location) Undergraduate GPA Undergraduate Major MCAT Score Special Interests, Hobbies, Extracurricular Activities: Scheduling: Do you have any commitments that could impact your schedule between May 2018 and June 2019? Include personal, military, educational, or professional commitments.
metropap_application_2017_qualtricstext.docx