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YPI VMC Premedical Student Application
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* Required
Full name:
*
Your answer
College:
*
Your answer
Year in college:
*
Freshman
Sophomore
Junior
Senior
College graduate
Other:
Identify myself as
*
Hispanic
Black
Refugee
Native American
Underrepresented American
Poor socio-economic background
Other:
Email:
*
Your answer
Secondary email:
*
If you entered your school email above then it will be good to have your personal email for future records so you can stay connected with YPI after graduation.
Your answer
Phone number:
*
Your answer
How would you describe your current access to mentorship...?
*
Very Poor
Poor
Average
Good
Very Good
Agree to download WhatsApp
*
YPI-VMC main platform of communication is WhatsApp. Please make sure you download it and are able to use it.
Yes
No
Are you applying this upcoming cycle? (2021-2022)
*
Yes
No
Why do you want to join YPI-VMC?
*
Your answer
If you attended a virtual shadowing session prior to applying for YPI-VMC, please write in the name/topic of the session:
Your answer
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