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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.
Application Information
true
true
I. PERSONAL INFORMATION
First Name
(Required)
Format: Enter first name
true
Last name
(Required)
Format: Enter last name
true
Middle Initial
true
UTRGV ID
true
Sex
Female
Male
Other
true
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
true
Cell Phone
(Required)
Format: (956) 333-4444
true
Date of Birth
(Required)
Format: mm/dd/yyyy
true
UTRGV Email
Format: name@utrgv.edu
true
Email
(Required)
Format: myname@example.com
true
Street Address
(Required)
Format: 1234 Road Blvd.
true
Apartment / Unit No.
Format: #104
true
City
(Required)
true
State
(Required)
true
Zip Code
(Required)
true
Country
(Required)
true
How did you learn about this program?
(Required)
Flyer poster
HS Teacher
HS Counselor
University advisor
Student coordinator
Website
Friend
Other Source
true
Other - How did you learn about this program
true
II. EDUCATION BACKGROUND
High School Name
(Required)
true
High School Address
(Required)
true
Graduation date or expected graduation date
(Required)
Format: mm/dd/yyyy
true
Overall GPA
(Required)
true
Rank (Required if school provides)
true
Out of how many graduating students?
true
SAT/ACT Composite Score (optional)
true
Date Taken
Format: mm/dd/yyyy
true
Math
true
Reading
true
Writing
true
Are you a transfer student?
(Required)
Yes, I am a transfer student
No, I am not a transfer student
true
If yes, what is the last institution attended
true
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.
true
Provide the current number of college credit hours you have, if applicable.
true
Provide your current college GPA, if applicable.
true
Date accepted to UTRGV, if applicable.
Format: mm/dd/yyyy
true
UTRGV anticipated graduation date
Format: (MM/YYYY)
true
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
true
If yes, how many credits?
true
Are you currently enrolled, or plan to enroll, in college courses prior to the start of the Fall 2022 semester?
(Required)
Yes
No
true
If yes, please list the course name and semester:
(Add as many as three semesters and as many courses as needed)
true
Future Goals
(Required)
Medical School
Dental
Physician Assistant (P.A.)
Pharmacy
Veterinary School
Graduate School (M.S./ Ph.D.)
Other Future Goals
true
Other - Indicate your future career plans
true
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, Unofficial College Transcript, SAT and/or ACT scores (optional), Student Information Survey) (Application is incomplete without attached document(s)))
true
IV. APPLICATION CHECKLIST
Completed and signed application
(Required)
Yes Completed and signed application
true
Unofficial High school transcript(s) (Required, only if not UTRGV accepted yet)
Yes Unofficial High School transcript
Not applicable Unofficial High School transcript
true
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 is on the BMED Application Instructions page.)
(Required)
Yes, Student Survey
true
If your application is missing required documents, it will delay review by Admissions committee
(Required)
Yes I understand I must submit all required forms.
true
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.
true
Date
(Required)
Format: mm/dd/yyyy
true
Referral Code (optional)
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