Post-Baccalaureate Pre-Medical Program Application

A complete application consists of two parts. Please read the application instructions before you apply. Note that you will need a credit card for the $50 application fee at the end of this application.

If you are interested in applying to the UVM Post-Baccalaureate Pre-Medical Program through the Centralized Application Service for Post-Baccalaureate Programs, please click here.

If you apply through PostbacCas, you don’t need to fill out the UVM application and vice versa.
Please only apply once.

Application Form

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Note that you will need a credit card for the $50 application fee at the end of this application.

If you are interested in applying to the UVM Post-Baccalaureate Pre-Medical Program through the Centralized Application Service for Post-Baccalaureate Programs, please click here.

If you apply through PostbacCas, you don’t need to fill out the UVM application and vice versa.

Please only apply once.

Start date

When do you plan to begin this program?

Contact Information

First Name

Middle Initial

Last Name

Student email address

I verify that this is not an email account that I share with another personFor example, if you and a sibling use the same email address, your accounts may become combined and cause registration delays

Country

Permanent Street Address

State

City

Zip Code/Postal Code

Permanent Phone Number

Mobile Number

Local Number

HIDDEN

Program Code

enrollment opportunity id

contact id

Recipients

Skip Payment

YesNo

interest code

Would you like to be considered a Vermont resident for tuition purposes?

YesNoEven if you live in Vermont, you must complete this section in order to be considered for in-state residency status. In-state residency is based on UVM Residency Policy

Vermont Residency

Vermont Residency Questionnaire

In order to be considered for in-state tuition, you must complete this section. The final decision on residency is made by the residency office. Regardless of your responses below, it is the student's responsibility to understand their final residency determination before they register. The residency office may request additional information before determining residency status. All Applications for In-State Status should be received no later than the last day of the Add/Drop period for the semester for which in-state status is sought. All applications received after the Add/Drop period will be considered for the following semester for which the student is enrolled.

Learn more about UVM residency criteria

Have you been employed at any point during the last 2 years?

YesNo

Employers

Please list employers for the last two years below

Employer

Employer Name

City

State/Province

Start Date

MM/DD/YYYY

Are you currently employed by this employer?

YesNo

End Date

MM/DD/YYYY

List employers for the past 2 years, including address and dates, using the format below

For example:

IBM, Essex Jct VT, 5/2016-5/2018
Green Mountain Coffee Roasters, Waterbury VT, 6/2018-present

List the states in which you have filed resident income tax the last 3 years (see example below)

2018- Vermont
2017- Vermont
2016- New York

When was the last year you were claimed as an exemption by your parents for tax purposes?

In what state did you graduate from high school?

When did you first begin living in Vermont?

MM/DD/YYYY

Are you under 25 years of age?

YesNo

Which address do you reside at currently?

The Permanent address that I entered previouslyOther address (please enter below)Parent/Guardian's address

Parent/Guardian Address

Street Address

Parent/Guardian's Street Address

City

Parent/Guardian's City

State

Parent/Guardian's State

Zip Code/Postal Code

Parent/Guardian's Zip

Country

How long have you resided at your current address?

Enter years and months (i.e. 10 years, 2 months)

Other address

Other Street

Other City

Other State/Province

Other Zip/Postal Code

Other Country

For Vermont Residents Only: The information above does not change the residency status established at your last enrollment. For information on filing for in-state status, contact the Residency Office, Registrar's Office, 85 South Prospect St., (802) 656-8515.

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Student Information

Birth Date

MM/DD/YYYY

Have you taken a course at UVM before?

YesNo

Are you a US Citizen?

YesNo

Do you have a social security number?

YesNo

Student Social Security Number (Encrypted for Privacy)

Enter with no dashes or hyphens (ex: 000000000)

Visa Status

I currently hold a non-immigrant visa.I will be applying for a student F-1 or J-1 visa.I have been granted permanent U.S. residency.

Visa Type

ex. F-1; J-1; L-2; H-4

Alien Registration Number

Demographic Information

Highest Level of Education Completed

What is your legal gender?

FemaleMale

How do you describe your gender identity? (optional; choose all that apply)

AgenderCisgenderFemale/womanGenderqueer/gender fluidIndigenous or other cultural gender identity (e.g., two-spirit)IntersexMale/manNonbinaryTransgenderNot listed abovePrefer not to say

How do you describe your gender identity? Please Specify:

U.S. Armed Forces Status (optional)

Hispanic or Latino

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member. (optional)

AsianAmerican Indian or Alaska NativeBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite

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Academic, Criminal, Military Background

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action?

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony? Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.

Did you receive an Other Than Honorable Discharge, Bad Conduct Discharge, or Dishonorable Discharge? (if applicable)

If you answered 'Yes' to any of the questions above, please provide details:

Schools Attended

Have you attended any undergraduate, graduate, or professional schools?

YesNo

Complete for all undergraduate, graduate or professional schools attended.

Choose state or province

Choose name of university

if school is not listed, enter below

State

Enter name of College/University

Degree Received

Start date

MM/DD/YYYY (Date you began attending)

End date

Date you stopped attending-- enter planned end date if currently attending

Unofficial College Transcript

Name the file with your name and the school name. Example: Sally_Smith_Univ_of_VT.pdf. Prevent errors by avoiding special characters in your in your filenames (e.g.avoid: !=:;?\&^%$#@><{}[]|'")

Please list any schools not included above

Narrative

Academic Track Choice

Advanced Science TrackPreparatory Science TrackAdv sci track no longer a choice per request from Tom GAdvanced Science Track is for students who need to strengthen their credentials to apply to med school
Preparatory Science Track is for career changers

Professions

Please select the primary profession you are interested in pursuing

Please check any additional profession(s) you are interested in pursuing.

Medicine

Yes

Dental

Yes

Veterinary

Yes

Physician Assistant

Yes

Nurse Practitioner

Yes

Physical Therapy

Yes

Pharmacist

Yes

Occupational Therapy Doctorate

Yes

Upload Resume (include education, employment, and volunteer history with dates)

Upload Resume

Personal Statement

Prevent errors by avoiding special characters in your in your filenames (e.g.avoid: !=:;?\&^%$#@><{}[]|'"). Note: Please make sure your name and the current date is clearly stated on the document. Personal Statement Guidelines: In no more than three typed, double-spaced pages, describe your reasons for pursuing a career in healthcare. Include any related experience you have and explain how that experience has informed your career goals.

Transcripts - replaced 1 18 17 with transcript upload field in repeating section

Prevent errors by avoiding special characters in your in your filenames (e.g.avoid: !=:;?\&^%$#@><{}[]|'"). Compile transcripts for all schools listed above into one document (pdf or zip) and upload here. If needed, you can save this form and come back later (link at top of page)

Letters of Recommendation

This program requires two letters of recommendation from people who know you well enough to give an informed opinion of your motivation, intellectual ability, capacity for sustained effort, and personal qualifications. We suggest that at least one of the two letters be an academic reference. Please enter the name and email address of two recommenders. We will send them a link to enter their recommendation.

Recommender 1

First name (rec 1)

Last name (rec 1)

Title (rec 1)

e.g. Dr, Professor

Email address (rec 1)

Phone (rec 1)

How do you know this person? (rec 1)

e.g. Professor, colleague, boss

Recommender 2

First name (rec 2)

Last name (rec 2)

Title (rec 2)

e.g. Dr, Professor

Email address (rec 2)

Phone (rec 2)

How do you know this person? (rec 2)

e.g. Professor, colleague, boss

Guaranteed Admission Program

Highest Level of Education Completed

Have you applied for admission to UVM in the past?

YesNo

How do you plan on completing your GAP courses?

OnlineOn Campus

Please review the possible GAP Curriculum Choices. Select the college or school below that best matches your interests

College of Agriculture and Life SciencesCollege of Arts and SciencesCollege of Education and Social ServicesCollege of Engineering and Mathematical SciencesRubenstein School of Environment and Natural ResourcesSchool of Business AdministrationUnsure

High Schools Attended

Complete for all high schools attended

If you have any difficulty entering schools in the drop-down menu, please use the "Additional high schools attended" section below.
Please submit unofficial transcripts for all schools listed.

Choose state or province

Choose name of school

if school is not listed, enter below

Unofficial High School Transcript

Name the file with your name and the school name. Example: Sally_Smith_Burlington_HS.pdf

Please list any schools not included above

Expected High School Graduation Year

YYYY

Do you qualify for UVM tuition remission?

YesNoYou may qualify if you or one of your parents is a current UVM employee.

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This section intentionally left blank for students with fee waivers.

Credit Card Information

Card Type

VisaMastercardAmerican Express

This program requires an application fee of $

Credit Card Number

digits only, no hyphens

CVV code

3 digit code on back of card near signature area

Credit Card Expiration Month

Credit Card Expiration Year

Card Holder Information

Card Holder First Name

Card Holder Last Name

Card Holder Street Address

Card Holder City

Card Holder State

Card Holder Zip/Postal Code

Card Holder Country

Card Holder Phone Number

Card Holder Email Address

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Post-Baccalaureate Pre-Medical Program Application