Mentee Demographics
Last Name
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First Name
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E-mail
This address will be used for future correspondence from MSMP. Please notify us of any changes, if you would like to continue receiving announcements and updates from us.
Your answer
Phone Number
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Class Standing
Residence for the Academic Year
City, state, and country of permanent residence (where you call home)
Your answer
High School(s) Attended
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Current undergraduate college
If you have graduated or are not attending school this year, select "Not applicable"
Previous undergraduate colleges
If not applicable, leave this blank.
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List current undergraduate major(s) and minor(s) AND any degrees previously earned.
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What medical schools are you interested in applying to?
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What do you enjoy doing in your free time?
Examples: playing sports, cooking/baking, playing an instrument, etc.
Your answer
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