HPC 2021 Registration Form
Complete this form by November 15th to let us know that you will be participating in the 2020-2021 Health Professions Committee review process (for an August 2022 medical/dental/veterinary school start).
First Name *
Last Name *
E-mail *
Cell Phone *
List the letters of recommendation that will be available to interviewers by January 15, 2021. [Remember: You need a minimum of TWO letters with at least ONE letter writer being a science faculty who taught you in a BCPM (Biology, Chemistry, Physics, or Math) course.] *
State of Legal Residence (as will be entered on the AMCAS/VMCAS/AADSAS application) *
I am a candidate for: (check all that apply) *
I plan to submit my application in June of: (year) *
I have taken or plan to take the admissions exam on: (month/year) *
Never submit passwords through Google Forms.
This form was created inside of Middlebury. Report Abuse