Application form - Shadowing

List your STEM-related skills and experiences: relevant coursework, activities, research, prior STEM programs, etc. (Max 150 words)

Beyond academics, what is your most meaningful activity or achievement? Describe the values you have developed from this experience. Note: Your answer does not have to relate to the medical field. (Max 200 words)

Please provide the name and email address for one academic reference (teacher or counselor). Letters of recommendation are not required; however, your reference may be contacted to verify your aptitude for the program.

MIAP Clinical Practicum