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Undergraduate Programs BS-BMED Admissions BMED Online Application Form

Department of Health & Biomedical Sciences College of Health Professions

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Department of Health and Biomedical Sciences
Brownsville Campus: BBRHB 1.101
Edinburg Campus: EHABW 2.206
Email: healthandbiomedicalsciences@utrgv.edu
Phone: 956-882-7383 (Brownsville campus) 956-665-5905 (Edinburg campus)
Fax: 956-882-6835
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Now accepting FALL 2023 BMED Applications! For questions, please contact the department.

BMED Application Fall 2023

Please fill out the application for the BMED program.

Student Information Survey 2023 Cohort

Application Information

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I. PERSONAL INFORMATION First Name (Required) Format: Enter first name

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Last name (Required) Format: Enter last name

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Middle Initial

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UTRGV ID

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Sex Female
Male
Other

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Race/ Ethnicity American Indian/Alaskan Native
Asian/Pacific Islander
Black, not of Hispanic Origin
Hispanic
White, not of Hispanic Origin
Multi-racial
Other Ethnicity

true

Home Phone (Required) Format: (956) 111-2222

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Cell Phone (Required) Format: (956) 333-4444

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Date of Birth (Required) Format: mm/dd/yyyy

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UTRGV Email Format: name@utrgv.edu

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Email (Required) Format: myname@example.com

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Street Address (Required) Format: 1234 Road Blvd.

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Apartment / Unit No. Format: #104

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City (Required)

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State (Required)

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Zip Code (Required)

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Country (Required)

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How did you learn about this program? (Required) Flyer poster
HS Teacher
HS Counselor
University advisor
Student coordinator
Website
Friend
Other Source

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Other - How did you learn about this program

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II. EDUCATION BACKGROUND High School Name (Required)

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High School Address (Required)

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Graduation date or expected graduation date (Required) Format: mm/dd/yyyy

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Overall GPA (Required)

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Rank (Required if school provides)

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Out of how many graduating students?

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SAT/ACT Composite Score (optional)

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Date Taken Format: mm/dd/yyyy

true

Math

true

Reading

true

Writing

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Are you a transfer student? (Required) Yes, I am a transfer student
No, I am not a transfer student

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If yes, what is the last institution attended

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Are you a current UTRGV student? (Required) I am a current UTRGV student
I am a current UTRGV MSA student
I am NOT a current UTRGV student.

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Provide the current number of college credit hours you have, if applicable.

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Provide your current college GPA, if applicable.

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Date accepted to UTRGV, if applicable. Format: mm/dd/yyyy

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UTRGV anticipated graduation date Format: (MM/YYYY)

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Do you have any prior credits from another college/university? (Required) Yes, I have prior credits from another college/university
No, I do not have prior credits from another college/university

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If yes, how many credits?

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Are you currently enrolled, or plan to enroll, in college courses prior to the start of the Fall 2022 semester? (Required)

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If yes, please list the course name and semester: (Add as many as three semesters and as many courses as needed)

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Future Goals (Required) Medical School
Dental
Physician Assistant (P.A.)
Pharmacy
Veterinary School
Graduate School (M.S./ Ph.D.)
Other Future Goals

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Other - Indicate your future career plans

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III. Upload - Unofficial High School Transcript, and Unofficial College Transcript are required only if not yet UTRGV accepted, SAT and/or ACT scores are optional, Student Information Survey (Upload all needed documents as a single PDF file) (Application is incomplete without needed document(s)) Information Survey (Attach all documents into a single PDF file ( Unofficial High School Transcript (if not UTRGV accepted), Unofficial College Transcript (if not UTRGV accepted), SAT and/or ACT scores (optional), Student Information Survey (Link found on top of page) (Application is incomplete without applicable attached document(s)))

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IV. APPLICATION CHECKLIST

Completed and signed application (Required) Yes Completed and signed application

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Unofficial High school transcript(s) (Required, only if not UTRGV accepted yet) Yes Unofficial High School transcript
Not applicable Unofficial High School transcript

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Unofficial college transcript(s) (if applicable) (Required, only if not UTRGV accepted yet) Yes Unofficial college transcript
Not applicable Unofficial college transcript

true

SAT and/or ACT test scores Yes SAT and/or ACT text scores (optional)

true

Student Information Survey. (Student Information Survey link is on top of page.) (Required) Yes, Student Survey

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If your application is missing required applicable documents, it will delay review by Admissions committee (Required) Yes I understand I must submit all required forms.

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V. DISCLAIMER AND SIGNATURE By signing below, I certify all information is true and correct to the best of my knowledge. (Required) Format: Enter your full name.

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Date (Required) Format: mm/dd/yyyy

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Referral Code (optional)

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