Pre-Health Program Interview Application

(For best results, please fill out this form using the Google Chrome Browser.)

Use this form to submit an application for an interview with the Pre-Health Advisory Committee. Be sure to dress professionally, review your personal statement and practice typical interview questions prior to the interview.

Please Note:

An interview with the Pre-Health Advisory Committee is not required to complete coursework as a pre-professional student. The interview is one of the final steps taken as you prepare for graduation and the application process for an advanced degree.
If your earliest deadline for submitting application materials for advanced degree programs is more than one calendar year from the present date, you should wait at least one semester to complete the Pre-Health Advisory Committee interview.

Name

First *

Last *

Address

Mailing Address *

Address Line 2

City *

State *

Zip Code *

Phone *

Email *

Name of Advisor

First *

Last *

College Information

College Credit Hours Earned (include current semester) *

Current GPA *

Proposed Major (NWOSU) *

If not intending to major in Biology or Chemistry, please specify "other":

Proposed Minor (NWOSU) *

If not intending to minor in Biology or Chemistry, please specify "other":

Anticipated Date of Graduation *

When do you anticipate starting your professional medical program? *

Of the programs you are applying for, what is the earliest deadline for application materials? *

Please tell us a little about yourself by completing the fields below:

Pertinent Experiences in Health Career

Campus Activities

Hobbies and Outside Interests

Questions or comments for the advisory committee:

Upload your Personal Statement (optional)

If you have a personal statement prepared that you would like the advisory committee to review prior to your interview, upload it here. *This is required for repeat interviews and highly recommended for transfer students (as members of the advisory committee may not have had you in class yet).