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NEW YORK MEDICAL COLLEGE PRE INTERNSHIP PROGRAM

MUNGER PAVILION, SUITE 173 VALHALLA, NY 10595

REQUIREMENTS FOR APPLICATION

1. The admissions committee will review this application and once all of the requirements pertaining thereto have been fulfilled and the application is complete will an interview be granted.

2. Please type or use ballpoint pen to enter your information. Original signature must appear on

application.

Do not send copies!

3. Fees: a non-refundable application fee of $100.00 must accompany the application. Please make your check or money order payable to: NEW YORK MEDICAL COLLEGE, PRE INTERNSHIP PROGRAM. The fee is not waived under any circumstance. The application fee is valid for one year. Do not send cash.

4. Transcripts:

An official transcript from each undergraduate college is to be sent directly to New York Medical College, Pre Internship Office from the school regardless of the courses pursued, including summer study. A combined transcript with transfer credits is not acceptable.

An original medical school transcript and an original translation with an original signature of the translator must appear on official letterhead. You may have it translated by your medical school, a translation bureau or any college or university that has a Spanish Department (this must appear on school letterhead).

Notarized copies are acceptable.

5. Two or more letters of recommendation must be submitted directly to the Pre Internship office in your behalf from physicians who have supervised you during an externship or eighth semester program in the United States. If you did not work in the United States, have your medical school submit two letters of recommendation, in English, to this office regarding your performance.

6. A Dean’s letter must be received prior to interviews. If the applicant is currently enrolled, the letter must state that the applicant is enrolled in good standing. If applicant has graduated, it must state that he/she satisfactorily completed four years and the dates of enrollment and/or just completed.

7. Certified transcript of USMLE scores from USMLE and a copy of your score report (both pages). A copy of MCAT scores. Both must be submitted for school records.

8. Applicant must be a US Citizen, have permanent resident status (green card). Canadian students are eligible for entry into the Pre-Internship Program provided they meet additional requirements. Please contact the Pre-Internship Office for further information

9. A clinical review course is held for new students at the college campus one week prior to the start of the program and begins the day after orientation and registration.

Rolling Admissions For both classes January Class July Class

NEW YORK MEDICAL COLLEGE PRE INTERNSHIP PROGRAM

MUNGER PAVILION, SUITE 173 VALHALLA, NY 10595

ADMISSION REQUIREMENTS

Requirements for admission to the New York Medical College, Pre Internship program include:

1. You must have completed in an Accredited American College Or University, undergraduate or pre-medical work of the quality acceptable for matriculation in an accredited United States medical school.

2. You must have studied at a medical school outside the United States and Puerto Rico, but which is recognized by The World Health Association and the State of New York.

3. You must have completed all of the formal requirements of the foreign medical school, except internship. You can not have your final degree to enter into the Pre Internship Program.

4. You must have academic records acceptable to New York Medical College and the affiliated hospitals.

5. You must be a U.S. Citizen, have permanent resident status (green card). Canadian students are eligible for entry into the Pre-Internship Program provided they meet additional requirements. Please contact the Pre-Internship Office for further information

6. Pre Internship Program must be started within one year after successful completion of medical school studies.

7. You must have passed STEP I of the U.S.M.L.E. examination.

8. Each student’s credentials must include:

Two semesters of inorganic chemistry or general chemistry.

Two semesters of organic chemistry (including aliphatic and aromatic compounds)

Two semesters of general biology with zoology

Two semesters of physics

Two semesters of English composition All science courses must include laboratory

APPLICATION FOR ADMISSION

NEW YORK MEDICAL COLLEGE Pre Internship Program

Munger Pavilion, Suite 173 Valhalla, NY 10595

NAME

(LAST)

(FIRST)

Tel#

Fax# 914 594-4325

914 594-3651

CLASS APPLYING FOR:

JANUARY

JULY

YEAR

TELEPHONE #

(MIDDLE)

PERMANENT ADDRESS

(

)

-

 

(STREET)

 

CELL # (

)

-

(TOWN/CITY)

(STATE)

(ZIP CODE)

 

TELEPHONE #

CURRENT ADDRESS

(

)

-

 

(STREET)

(TOWN/CITY)

(STATE)

(ZIP CODE)

SOCIAL SECURITY #

-

-

MALE

FEMALE

E-Mail Address

Place Photograph Here With

Signature

PLACE OF BIRTH

DATE OF

BIRTH:

CITY

STATE

COUNTRY

CITIZEN OF THE U.S.?

YES

NO

GREEN CARD?

YES

NO

IF YES, A COPY MUST BE SUBMITTED WITH APPLICATION

HAVE YOU APPLIED PREVIOUSLY TO THIS MEDICAL SCHOOL? YES

NO

EMERGENCY CONTACT

1. DO YOU HAVE ANY RELATIVES WHO HAVE ATTENDED OR ARE ATTENDING THIS COLLEGE OR WHO ARE

MEMBERS OF THE FACULTY?

ALUMNI

NAME

RELATIONSHIP

FACULTY

NAME

CLASS OF

NEW YORK MEDICAL COLLEGE ADMITS STUDENTS TO ALL RIGHTS, PRIVILEGES, PROGRAM AND ACTIVITIES

GENERALLY MADE AVAILABLE TO STUDENTS AT THE COLLEGE WITHOUT REGARD TO SEX, RACE, COLOR OR NATIONAL AND ETHNIC ORIGIN.

2. MILITARY SERVICE:

BRANCH

YES

NO

DATES OF SERVICE:

FROM

TO

PAGE 2

3.

SUMMARY OF HIGHER EDUCATION (LIST IN CHRONOLOGICAL ORDER):

A. ALL UNDERGRADUATE COLLEGES ATTENDED:

 

CAMPUS

YEARS OF

FIELD OF

YEAR DEGREE

INSTITUTION

LOCATION/STATE

ATTENDANCE

CONCENTRATION

GRANTED

B. INSTITUTION GRANTING CREDIT FOR REQUIRED PREMEDICAL COURSES:

C. ALL UNDERGRADUATE SUMMER SCHOOLS ATTENDED:

D. ALL GRADUATE OR PROFESSIONAL SCHOOLS ATTENDED:

E. ALL MEDICAL SCHOOLS ATTENDED

UAG CREDENTIAL #:

DATE OF ANTICIPATED COMPLETION:

4. LIST ANY HONORS, AWARDS OR OTHER SPECIAL RECOGNITION’S YOU HAVE RECEIVED:

5. APPLICANTS FROM MEDICAL SCHOOLS IN MEXICO:

HAVE YOU COMPLETED ANY PORTION OF AN INTERNSHIP IN MEXICO OR ELSEWHERE?

YES / NO

6. APPLICANTS FROM MEDICAL SCHOOLS OUTSIDE MEXICO:

ARE ADDITIONAL REQUIREMENTS MADE OF YOU OTHER THAN STANDARD COURSE WORK IN YOUR PRESENT MEDICAL SCHOOL FOR A FINAL M.D. OR EQUIVALENT DEGREE? IF YES, PLEASE EXPLAIN.

IF NO, PLEASE EXPLAIN YOUR REASONS FOR SUBMITTING AN APPLICATION TO THE FIFTH PATHWAY PROGRAM:

PAGE 3

7.

MEDICAL COLLEGE ADMISSION TEST (MCAT) INFORMATION:

 

TEST DATE

 

TEST SCORES

 

MONTH

YEAR

BIO

CHEM

PHYSICS

SCIENCE PROBLEMS

READING

QUANT.

TOTAL

COPY OF MCAT SCORE MUST BE SUBMITTED AS SOON AS POSSIBLE

8.

PLEASE INDICATE WHETHER YOU HAVE TAKEN THE USMLE EXAMINATION AND THEIR RESULTS:

PLEASE STATE ECFMG / USMLE #

 

YES / NO

 

STEP I

DATE

DATE TO RETAKE EXAM

 

YES / NO

STEP II CK

DATE

DATE TO RETAKE EXAM

YES/NO

STEP II CS

DATE

DATE TO RETAKE EXAM

9.

ELECTIVES OR EXTERNSHIPS / HOSPITAL TRAINING

INSTITUTION

 

LOCATION

ATTENDANCE DATES FROM/TO

FIELD OF CONCENTRATION

10. FOR THOSE STUDENTS APPLYING FROM MEXICAN SCHOOLS: HAVE YOU COMPLETED OR ARE YOU

ENROLLED IN AN EIGHTH SEMESTER PROGRAM?

YES

NO

WHERE

11. HAS YOUR EDUCATION BEEN CONTINUOUS TO DATE OTHER THAN FOR VACATION? YES NO IF NO, OR IF YOU ARE NOT NOW IN MEDICAL SCHOOL, INDICATE WHAT YOU HAVE DONE SINCE GRADUATION

WERE YOU EVER REQUIRED TO LEAVE ANY COLLEGE, GRADUATE OR MEDICAL SCHOOL OR EVER DENIED

READMISSION BECAUSE OF DEFICIENCIES IN EITHER CONDUCT OR SCHOLARSHIP? IF YES, PLEASE EXPLAIN:

YES

NO

PERSONAL INTERVIEWS WILL BE REQUIRED, AND WILL BE BY INVITATION OF THE ADMISSIONS COMMITTEE ONLY. PLEASE INDICATE BELOW WHEN YOU WOULD BE AVAILABLE FOR AN INTERVIEW

AREA OF MEDICINE OR TYPE OF PRACTICE YOU ARE INTERESTED IN

12.

YOUR PERSONAL COMMENTS: (Brief description of why you have decided to attend Medical School)

PAGE 4

13. HAVE YOU EVER BEEN ENROLLED IN A PRE INTERNSHIP OR FIFTH PATHWAY PROGRAM BEFORE?

YES

IF YES, PLEASE EXPLAIN:

NO

14. ARE YOU APPLYING AS A COUPLE? SPOUSE

YES

NO

,

IF SO PLEASE GIVE NAME OF

15. HAVE YOU RECEIVED YOUR M.D. DEGREE?

YES

NO

IF NOT, WHAT ADDITIONAL REQUIREMENT(S) ARE NEEDED BY YOUR MEDICAL COLLEGE BEFORE THE FINAL DEGREE IS GRANTED?

FINAL EXAM

EXTERNSHIP

SOCIAL SERVICE

GOVERNMENT

SERVICE

INTERNSHIP

OTHER

(PLEASE EXPLAIN)

PAGE 5

COURSES TAKEN

MEDICAL SCHOOL RECORD

YEAR TAKEN

GRADE

All undergraduate courses should be listed except physical education, rotc and the like. Application will not be considered unless this section is completed. Summarize any graduate courses on page 3 or on a separate sheet of paper.

Sciences Non­Science Biol. Sci English Gen. Biology Embryology Comp. Anat Psychology Genetics Physiology
Sciences
Non­Science
Biol. Sci
English
Gen. Biology
Embryology
Comp. Anat
Psychology
Genetics
Physiology
Bacteriology
Frgn. Lang.
Chemistry
(
)
Gen.Chemistry
Org.Chemistry
Inor.Chemistry
Philosophy
Qual.Anal.
Quan.Anal.
Biochemistry
History
Physics
Economics
Gen. Physics
Sociology
Math
Algebra
Trigonometry
Political Sci.
Anal. Geometry
Calculus
Other
Other
Totals
Totals
Actual Grade
Credit Hours*
In Progress or
to be taken
Year Taken
1,2,etc.
College Where
taken
Actual Grade
Credit Hours*
In Progress or
to be taken
Year Taken
1,2,etc.
College Where
taken

science grade point averages from column totals at left below, multiply by the weight factor as listed for your grade in the conversion table. (on next page)

Sciences

(A+, A) 4.0x

=

(A­)

3.7x

=

(B+)

3.3x

=

(B)

3.0x

=

(B­)

2.7x

=

(C+)

2.3x

=

(C­)

1.7x

=

(D+)

1.3x

=

(D)

1.0x

=

(D­)

0.7x

=

(F)

0 x

=

Total

 

Hrs

Honor Point

Non­Sciences

(A+, A) 4.0x

=

(A­)

3.7x

=

(B+)

3.3x

=

(B)

3.0x

=

(B­)

2.7x

=

(C+)

2.3x

=

(C­)

1.7x

=

(D+)

1.3x

=

(D)

1.0x

=

(D­)

0.7x

=

(F)

0 x

=

Total

 

Hrs

Honor Point

*Credit hours should be listed in either all semester hours or all quarter hours. If you have attended schools with both systems, convert quarter hours to semester hours by multiplying by 2/3, or semester hours to quarter hours by multiplying by 3/2. INDICATE HERE WHICH SYSTEM YOU USED IN RESPONDING (1) semester hours□ (2) quarter hours □

Enter your estimated non­cumulative grade point averages below

Honor Pts/Credit Hours =

 

Science

Non­Sci

Combined

GPA

GPA

GPA

=

Science GPA (Cumulative)

1(Fresh)

.

.

.

 

2(Soph)

.

.

.

Honor Pts/Credit Hours =

3(Junior

.

.

.

=

Non­Science GPA (Cumulative)

4(Senior)

.

.

.

 

Graduate

.

Honor Pts/Credit Hours =

 

=

Combined GPA (Cumulative)

I certify that the information submitted in this application is complete and

correct to the best of my knowledge and belief

Date

Signature

Page6

GRADE CONVERSION TABLE

PAGE 7

Grade

Weight

Even if your school does not assign a weight to grades, you will need to use this table in order to calculate your grade point average according to grades on your official transcript

A

4.0

A

A

A

A

H

H

H

A+A

A

A

A

A+A

E

ON

O

H

S

E

HO

 

1 4.0

4.0

100­93

3.7

               

   

                 

3.9­3.7

92­90

B+

3.3

 

AB

         

B+

 

AB

 

B+

               

3.5

3.6­3.3

89­87

B

3.0

B

B

B

B

HP

HP

S+

B

B

B

B

B+

S

HP

E

E

H

VG

HP

 

2 3.0

3.2­3.0

86­83

2.7

               

   

                 

2.9­2.7

82­80

C+

2.3

 

BC

         

C+

 

BC

 

C+

               

2.5

2.6­2.3

79­77

C

2.0

C

C

C

C

CR

P

S

C

C

C

C

C+

M

P

G

G

P

G

PA

 

3 2.0

2.2­2.0

76­73

1.7

               

   

                 

1.9­1.7

73­70

D+

1.3

 

CD

             

CD

 

D+

               

1.5

1.6­1.3

69­67

D+

1.0

D

D

D

     

 

D

D

D

D+

I

HOD

C

P

 

P

CR

 

4 1.0

1.2­1.0

66­63

0.7

                 

DE

 

                 

0.9­0.7

62­60

F

0.0

F

F

NC

NC

NC

F

U

F

F

E

E

F

F

NC

U.F

U

F

F

NC

 

5 0.0

0.6­0.0

59>