Pre-Health 3+4 Accelerated Program Application

Accelerated pre-health programs are offered in Primary Care, Optometry and Pharmacy. Please fill out the form below to apply to the program of your choice.

An asterisk (*) indicates that you must complete the field in order for this form to be processed.

Application Cover Page

Date of Submission *

Year

Month

Day

First Name *

Last Name *

Address (Line 1) *

Address (Line 2)

City *

State *

State Other...

Zip Code *

Country *

Email Address *

Cell Phone

Home Phone *

What year will you begin at Penn State? *

What year will you begin at Penn State? Other...

What semester will you begin at Penn State? *

Fall

Spring

Summer

Indicate program of interest. *

3+4 Accelerated Primary Care Program

3+4 Accelerated Optometry Program

3+4 Accelerated Pharmacy Program

Personal Statement

Please enter a Personal Statement that describes why you are interested in this particular program and what experiences have influenced your decision to pursue are career in healthcare. Please limit your personal statement to two pages (content may be copied and pasted from a document).

Personal Statement Response *

When you click the submit button, you should see a confirmation page on the next screen. If you still see this page, please scroll to the top of this page and look to see if a red box appears at the top. Fix any errors that are noted and submit again. Thank you.

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Pre-Health 3+4 Accelerated Program Application