Ben-Gurion University of the Negev- faculty of Health Sciences
Download 186.07 Kb.
|
- Navigate this page:
- I have received, or expect to receive before August 2017, the degree of from
- Application checklist
- Questions about the application process
Ben-Gurion University of the Negev- Faculty of Health Sciences
Medical School for International Health 2017 Application for Admission
Full name: First Middle Name (if no middle name, please indicate “no middle name”) Last Please include your full legal name: first, middle and last. If you do not have a middle name, please indicate “no middle name”. Please note: this is how your name will appear on your transcript, diploma and all other university documents. Birth date: / /
Last four digits of Social Security/National Identity number: Place of birth:
Legal permanent address: Street Apt City/State Country Postal Code Permanent phone number: Email address: Preferred mailing address:
Preferred phone number: Single Married Number of children: none one two + Citizenship(s): (List every country of citizenship): Passport number(s): Issuing Country(s): Father’s name, citizenship and occupation: Mother’s name, citizenship and occupation:
High school attended: State/Country If you did not attend college immediately after high school, or if there was more than a six-month break in your studies, briefly state the reasons. Undergraduate college/university: State/Country Dates attended: to Degree: Major: GPA: Science GPA: Class rank/standing (if available): Total MCAT score: MCAT verification code: AAMC ID # Total GAMSAT score: GAMSAT ID # We accept MCAT scores that are no more than three years old and GAMSAT scores that are no more than two years old. To retrieve your sixteen-digit MCAT alphanumeric code, please go to aamc.org/mcat, log in, and find the option to “print an official copy of my MCAT scores”, and enter that code above. To retrieve your seven-digit GAMSAT ID, please go to gamsat.acer.edu.au. If English is not your first language, please provide your TOEFL score: Month/Year Have you previously applied to the Medical School for International Health? No Yes, in Have you previously attended, or are you now attending another medical school? Yes No If yes, dates attended: to Number of years of completed medical study: I have received, or expect to receive before August 2017, the degree of from If you hold an advanced degree, please list the school(s) and date(s) of study: School(s), Date(s) of study Have you ever been suspended or placed on academic probation at any institution of higher learning? No Yes If yes, indicate the date and reason: Have you ever been convicted of a felony? No Yes If yes, indicate the date and reason:
Please type answers in WORD, and name the file “first and last name ESSAYS”. 1. Please describe your education, skills, and/or experiences that are relevant to global health. (no longer than one page, single spaced) 2. Please provide a biographical essay describing yourself. (no longer than one page, single spaced) 3. What is the biggest challenge that you have faced to date? How did you handle it? In retrospect, what would you or could you have done differently? (no longer than one page, single spaced)
Applicants must have or expect to receive an undergraduate degree before entering MSIH. Coursework must include one year each of biology, one year of physics (or one semester of physics and one semester of math, preferably calculus or statistics), and two years of chemistry (with labs), one of which must be organic chemistry or biochemistry with labs and lectures. Please list the courses that you are currently taking or will complete before matriculation that are required for admission. You must supply transcripts for all coursework. Academic Year 20 to 20 College/University attended:
Does your college/university have a pre-medical committee? Yes No Have you requested a recommendation from your college pre-medical committee or advisor? Yes No If you will not have a committee letter, please list the names of at least three people who will submit recommendations (you may submit additional recommendations if desired): 1. 2. 3.
Website Pre-health Advisor Professor MSIH Alumni/Student E-news Blog Campus visit Conference Ad News article Brochure Social Media
The admission and registration of the undersigned, if granted pursuant to this application, is subject to all rules and provisions set forth by the university. I hereby certify that all information provided in my application is truthful, accurate, and complete. Signed: Date: Application checklist: Items 1-4 may be sent via email by the applicant to msihadmissions@post.bgu.ac.il □1. Email the completed application form, with file named “first and last name APPLICATION” □2. Email a complete CV, with file named “first and last name CV” □3. Email a .jpeg photo, with file named “first and last name PHOTO” □4. Email all three required essays, with file named “first and last name ESSAYS” Items 5-6 are to be submitted independently by the letter writer or an authorized school official via third party entities like Interfolio or emailed directly on official letterhead to msihadmissions@post.bgu.ac.il. □5. Submit official academic transcripts from all education after high school □6. Submit a minimum of 3 letters of recommendation or committee letter □7. Provide credit card information to process the $95.00 application fee. Call the NY office at 212-995-1231 to provide a credit card number. Applications will not be processed until payment is made. Alternatively, documents can be sent to: Medical School for International Health 601 West 168th Street, Suite 63 New York, NY 10032 Questions about the application process? Please call the office at 212-995-1231 or email us at msihadmissions@post.bgu.ac.il Directory: fohs -> MSIH -> Site%20Assets Site%20Assets -> Ben-Gurion University of the Negev- faculty of Health Sciences Download 186.07 Kb. Share with your friends:
|