Health Professions Advising - Information Packet

Please ensure that you have the following materials available prior to filling out this form as you will not be able to save and revisit this form later.

Personal Statement
Resume
Transcript from Colorado College
- Please request a copy from the Registrar's office
Transcripts from all other schools other than Colorado College
Professional-looking headshot

In order to receive a committee letter written on my behalf from the CC Health Professions Advising Committee, I agree to:

Submit my information packet and letter request forms in a timely manner (deadline May 15).
Keep the committee informed of my status by emailing the Health Professions Advisor, Jane Byrnes, regarding: interviews, acceptances, waitlists, and denials as they occur (check-in dates: October 1, December 1, February 1 , April 1).
Respond to requests for more information from the Health Professions Advisor.
Check my email on a regular basis for communication from the Health Professions Advisor.
Notify the Health Professions Advisor if my status changes or if I’m no longer applying during this cycle by July 15.

Committee Letter Agreement *

I acknowledge that I have read and agree to the above terms of the Committee Letter Agreement

Student Information

First Name *

Middle Name

Last Name *

Preferred Name

Birthdate *

Email Address *

Additional Email Address (optional)

Mobile Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Major *

CCID *

CC Graduation Year

Application Plan *

MD

DO

DDS

MD-PhD

Are you applying to a medical school in Texas? (excluding Baylor) *

Yes

No

AMCAS ID

AACOMAS ID

TMDSAS ID

AADSAS ID

Experiences / Competencies / Activities
In writing the composite committee letter, the Health Professions Advising Committee needs as much information as possible about you regarding your academic ability, activities, and personal qualities. Give as much detail as possible; include dates of activities, jobs, and any unique activities that would help the professional school admissions committee choose you. Don't be shy; sing your praises.

Medical students must possess a broad range of competencies to successfully learn and develop in medical school and become effective physicians. The premed competency model includes professional, thinking and reasoning, and science competencies, and serves as a roadmap for students as they prepare to succeed in medical school. Medical schools will be using these competencies in this application cycle to evaluate applicants’ readiness for medical school. (View the printer-friendly Premed Competencies.)

Academic Honor Information

List any awards, prizes, honors, etc., received while in college. How often are they given? How many other recipients receive it at the same time?

Extracurricular Activity Information

List any extracurricular activities you spend a significant amount of time on and are of value to you.

Work Experience Information

List any part time, summer, or full-time job experience. Indicate if these require a significant part of your time during the academic year or have been something you must manage along with your academics.

Experience in Health Care Delivery

List and describe any work experience (volunteer or salaried) you had in "hands on" health care.

Research and/or Independent Study

List and describe any independent study or research projects you have been involved in during your undergraduate study.

Community Service Information

List and describe any community service experience you had in your undergraduate/graduate years.

How many MCAT scores are you reporting? *

Test Date *

Chem. & Physical Foundations Score

Critical Analysis & Reasoning Score

Biological & Biochemical Foundations Score

Psych., Social & Biological Foundations Score

Total *

Test Date *

Chem. & Physical Foundations Score

Critical Analysis & Reasoning Score

Biological & Biochemical Foundations Score

Psych., Social & Biological Foundations Score

Total *

Test Date *

Chem. & Physical Foundations Score

Critical Analysis & Reasoning Score

Biological & Biochemical Foundations Score

Psych., Social & Biological Foundations Score

Total *

How many DAT scores are you reporting? *

Test Date *

Biology *

General Chemistry *

Organic Chemistry *

Reading Comprehension *

Perceptual Ability *

Quantitative Reasoning *

Test Date *

Biology *

General Chemistry *

Organic Chemistry *

Reading Comprehension *

Perceptual Ability *

Quantitative Reasoning *

Test Date *

Biology *

General Chemistry *

Organic Chemistry *

Reading Comprehension *

Perceptual Ability *

Quantitative Reasoning *

How many non-MCAT or DAT test scores are you reporting? (e.g. GRE) *

Exam Taken

Test Date

Test Score

Exam Taken

Test Date

Test Score

Exam Taken

Test Date

Test Score

GPA (BCPM) *

GPA Overall *

Please upload the following as part of your information packet

Personal Statement *

Resume *

Photo *

Professional–looking head shot, no larger than 5MB

Transcript from Colorado College *

Please request a copy from the Registrar's office

How many transcripts from schools other than Colorado College will you be uploading? *

Transcript One *

Transcript Two *

Transcript Three *

Transcript Four *

Transcript Five *

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Health Professions Advising - Information Packet