Application to 2022-2023 MIM College and Post-Baccalaureate Programs
All information will remain confidential with the MIM Staff.  Please use this application to apply for all college/post-baccalaureate level programs.  (Below are four separate programs, but the application questions are similar.  In the beginning, you will have the opportunity to choose all programs you wish to apply for.)  ALL APPLICATION DEADLINES ARE INDICATED BELOW FOR EACH PROGRAM.  Only submit ONE application.  Multiple and incomplete applications will NOT be considered.

1-MIM VIRTUAL Medical School Application Bootcamp
Learn strategies to create a competitive application to medical school.  You must be applying in 2022 or 2023 for the entering class of 2023 or 2024, respectively. Must attend each session.

Eligibility:  Low income and students under-represented in medicine who are currently college and post-baccalaureate students or re-applicants to medical school.  All are encouraged to apply!

Tuesday, April 26, 2022 from 8 pm-10 pm ET
Wednesday, April 27 from 8 pm-10 pm ET
Thursday, April 28 from 8 pm-10 pm ET
Friday, April 29 from 8 pm-10 pm ET

Fee:  FREE
DEADLINE TO APPLY is April 23, 2022 at 5 pm ET.  (Extended)

2-Emergency Department Clinical Exposure and Mentoring Program (ED-CEMP)  (NYC area)
Students will volunteer, shadow and learn about many specialties and medical careers in a busy urban ED.  Students will also participate in community service.

Eligibility:  Low income college, gap year and post-baccalaureate students and students under-represented in medicine who live in the NYC area and intend to apply to health professional school.  (All are welcome to apply.) Students must be fully vaccinated against COVID-19 to participate in this program.  Students in health professional school do NOT qualify.  The program entails the following minimum number of hours for completion over a 6-month period at Montefiore Medical Center in the Bronx:
(1)  100 hours volunteering
(2)  25 hours shadowing
(3)  40 hours community service project(s)

Fee:  FREE

DEADLINE TO APPLY for the Summer 2022 Session is April 23, 2022 at 5 pm ET.  (Extended)
Space is limited!

3-Medical Pathway Program (MPP) (Virtual)
In its 13th year, this holistic medical school preparatory boot camp targets low income students or students under-represented in medicine. (All are welcome to apply.) This rigorous 30-week program (9/17/22-4/8/23) program accelerates a candidate's application to medical school by helping to increase his/her competitiveness through personal strategic planning sessions, MCAT prep, AAMC SJT/CASPer/PreVIEW Professional Readiness Exam information, application assistance, mock interviewing, work with MIM coaches (peak performance, study skills, communication, stress reduction, etiquette) and much more!  After this program, 92% of med school applicants get accepted.

Eligibility:  New or re-applicants to medical school.  Must be taking/have completed Biochemistry and Physics.  Must be planning to APPLY to medical school for application submission in 2023.

Fee:  $600
Limited financial assistance is available.  

DEADLINE TO APPLY-Friday, September 2, 2022 at 5 pm ET.

4-MIM Student Instructors' Program (Virtual and In-person in NYC area)
 College, gap year and post-baccalaureate and graduate students get paid to teach elementary, middle and high school students about biology-inspired STEAM.  Whether in-person (NYC area) or virtually, students teach in the MIM after school and Saturday programs, participate in activities fairs, create curricula and serve as tutors.

Eligibility:  Must have received a B or better in math and science courses.  

Fee:  Students receive a modest stipend for their hours.  

DEADLINE TO APPLY-Wednesday, April 23, 2022 at 5 pm ET. (Extended)

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Email *
1-Are you applying for the MIM Medical Application Bootcamp? *
Required
1a-If you responded YES to Q1, have you applied to medical school previously?
2-Are you applying for the Emergency Department Clinical Exposure and Mentoring Program (ED-CEMP)? *
Required
2A-Have you previously applied to the Emergency Department Clinical Exposure and Mentoring Program?  If so, when?
2B-Have you received the COVID 19 vaccine? *
3-Are you applying for the Medical Pathway Program (Medical School Preparatory Boot Camp)? *
Required
3A-If you answered YES to Q3, what is your AAMC ID number?  If you do not have one, you can create one at https://apps.aamc.org/account/#/login and enter below.
3B-If you answered YES to Q3, do you have AAMC Question Bank?
Clear selection
4-Are you applying for the MIM Student Instructor Program? *
Required
4A-If you answered YES to Q4, have you previously participated in the MIM Teaching Fellows/Student Instructors Program?
Clear selection
5-First Name *
6-Last Name *
7-Street Address (Include Building and Apt #), City, State *
8-Zip Code *
9-Email Address (Please check your spelling.) *
10-Cell Phone # *
11-Home ( or Alternative) Phone # *
12-Gender *
Required
13-Birthdate (xx/xx/xxxx) *
14-Racial/Ethnic Self Identification *
15-Are you a US citizen ? *
Required
16-If no, do you have US work authorization documents (VISA Passport)? *
Required
17-Emergency Contact #1 *
Full Name
18-Emergency Contact #1 *
Mailing Address
19-Emergency Contact #1 *
Email Address
20-Emergency Contact #1 *
Home Phone #
21-Emergency Contact #1 *
Cell Phone #
22-Name of Your College (s) *
23-Have you had an institutional action?  If so, please explain. *
24-Date of Graduation (Expected or Actual) *
MM
/
DD
/
YYYY
25-Degree (s) *
26-Overall GPA *
27-Science GPA *
28-Other Educational Programs (Graduate Programs) *
29-Extracurricular and Summer Activities *
30-Have you completed the following courses and when? *
I have not taken.
Currently
1-2 years ago
2-3 years ago
>4 years ago
Biology
Physics 
General Chemistry
Organic Chemistry
Psychology
Sociology
Biochemistry
31-Have you ever been charged or convicted of a misdemeanor, felony or crime? *
32-What is your health profession of interest ? *
33-Have you ever taken the MCAT? *
34-If yes, please indicate date(s) and score(s)
35-Health Professional School Application History
Have you applied to medical school before ?
Clear selection
36-What language(s) do you speak fluently? *
37-References will be contacted. NO LETTERS NEEDED. No family please. Please list the full name, institution, email address, phone (O/H), phone (cell) & relationship to applicant (you). *
Reference 1 Please list the full name, institution, email address, phone (O/H), phone (cell) & relationship to applicant (you).
38-Reference #2 *
Reference 2 Please list the full name, institution, email address, phone (O/H), phone (cell) & relationship to applicant (you).
39-Reference #3 *
Reference 3 Please list the full name, institution, email address, phone (O/H), phone (cell) & relationship to applicant (you).
40-Media Release *
In exchange for consideration received, I hereby give permission to Mentoring In Medicine Inc. to use my name and photographic likeness in all forms and media advertising, trade and any other lawful purposes.
41-How did you hear about the program?  Did someone refer you?  If so, who? *
42-Have you participated in other MIM programs ? *
Required
43-If yes, please detail which MIM Programs/Year of Participation/Site?
44-Please answer the following questions (no more than 50 words): (1) Why do you want to be a health professional ? (2)  Which type of health professional do you wish to become?  (3) What challenges have you encountered ? *
45-List links to your social media profiles (LinkedIn, FB,  IG, Twitter) *
46-Please submit a 90 second maximum video answering the following questions, upload to You Tube and include the link with your application.  Instructions on creating the video are as noted below.     NO APPLICATION WILL BE CONSIDERED WITHOUT AN UNLISTED YOU TUBE VIDEO!    1--What makes you unique?  2-What are your personal obstacles to becoming a health professional?  3-What do you hope to gain from this program?
How to Submit an Unlisted YouTube Video

You will need a gmail.com account.

Record your video (no more than five minutes).

Upload it at https://www.youtube.com/upload

Select the video to uploaded as “UNLISTED”

**Once the upload is complete, select the SHARE button to copy the URL.

Post your unique YouTube video URL into the form.

Please share the video link with a friend to ensure that it plays correctly.

Learn how to upload a video at https://www.youtube.com/watch?v=b56YHMirqBs 


47-Please add YouTube Video URL below: Required for consideration of your application.** *
48-Do you have questions for the MIM staff?
Submit
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