Indiana School of Medicine Pre-Matriculation Program – IU School of Medicine: Medical Student Education

Name
First Last
Preferred Name
Email * Required
IU Email Address * Required
Phone
Home Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Local Address in Indiana
Only if you have one set up and different from above

Street Address Address Line 2 City State ZIP Code
Please explain in the box provided below, how you meet any of these listed criteria: Non science major; non-traditional student; changing professions; out of school for substantial period; member of group underrepresented in medicine; does not apply but still interested. * Required
What do you feel most confident about enrolling in medical school? * Required
What do you feel most challenged about enrolling in medical school? * Required
Are you interested in temporary on campus housing while participating in the program? * Required
- Yes, I am interested in on campus temporary housing
- Maybe
- No, I have organized my own local housing
Food will be provided while in the program. Do you have any dietary restrictions? * Required
Any accommodations – please list here * Required
Thank you for taking time to complete this application. Deadline to submit is Friday July 6th at 5:00 p.m. and we shall get back to you with the decision by July 13th, 2020.

In the meantime, you may reach out to us by email to Dr. Iyabode Okoro (Dr. O) or call 317 274 1931 between 9:00 a.m. and 4:00 p.m. Mondays to Fridays.