Application

Medicine and Physician Assistant Career Awareness Day

9:00am-4:30pm Thursday, June 29, 2017

RSVP/Registration/Sign-up Instructions: Please visit http://www.upstate.edu/prospective/basics/specialevents.php first.

RSVP/Registration/Sign-up Deadline: Monday, May 01, 2017

Space is limited to 24 participants. Deadline to register to be considered is May 1.

For more information: Event Web Site
Contact: Wendy Meyer-Wilson (admiss@upstate.edu) (315-464-4570)

Please confirm the accuracy of your entry before submission.

Information of the Person Attending











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Other information


Type of Applicant:
        


(High school applicants only)
Do you receive a free or reduced lunch: (High school applicants only)
        

(High school seniors only)
Are you in EOP or HEOP: (College applicants only)
        
Year of HS graduation:                  





Enrollment in a medical New Visions program: (Enrolled, or will enroll?)
        
Have you attended a Career Awareness Day before: (at Upstate Med University)
        

(If yes to the question above this)
Is anyone in your family work in health care:         

(If yes to the question above this)

By submitting you are verifying these statements: