Applicant Intake Form (2026-27 Cycle)
Please fill out this form to let us know that you are are planning to apply to a health professions program in the 2026-2027 application cycle. After you submit this form, one of our advisors will reach out to you to discuss your application plan and strategy and to share our resources for applicants including the Applicant Workbook. 
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Email *
First Name *
Last Name *
Pronouns
Personal Email Address (non-Willamette) *
WU Academic Major(s) *
Graduation Month and Year (actual or expected)
Intended matriculation year (when do you hope to begin your program)
"Fall 2027," for example
To which program(s) do you plan to apply?
(MD, DO, PT, PA, MD/PhD, MPH, Dental, Vet Med)
At any point during your time at Willamette University (and since), did you meet with any of the following health professions advisors to discuss your professional goals? 
Please check all that apply
If there is an advisor listed above who you would identify as your primary health professions advisor (at Willamette University), please enter their name here. 
Have you participated or did you participate in any of the following health professions courses or student groups during your time at Willamette University?
Please select the option that best describes your status on each of the application steps listed below *
Not Started
I've made a start
Mostly complete
Complete
Developing your school list
Completing prerequisite course requirements
Completing required entrance exams
Drafting your personal statement
Requesting letters of recommendation
(OPTIONAL) Please use the space below to share anything else you think would be helpful for us to know about your plans for applying this cycle. 
If you graduated from Willamette University more than one year ago, please provide a description of what you've been up to since graduation.
We will be hosting weekly Applicant Support Workshops on Wednesdays at 5:30 pm (with options for in-person or virtual attendance). These workshops will be an opportunity to discuss a topic related to application preparation as well as a space to connect with other WU students and alumni who are applying to health-related graduate programs this cycle. Will you plan to join us at these sessions?  *
If you are interested in participating in group workshops and are not available on Wednesdays at 5:30 pm, please let us know what your evening availability looks like so we can try to accommodate your schedule.  *
A copy of your responses will be emailed to the address you provided.
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