Pre-Med/Pre-Health student assessment

This webform must be completed in its entirety – partial progress cannot be saved. Make sure to have your resume, a working draft of your personal essay, and completed waiver form ready to upload. The waiver form can be found on the Applying to Schools page - just above the link for this self-assessment.

Student information
Please enter area code and number as follows: (xxx) xxx-xxxx.
Please indicate the year you have graduated, or expect to graduate, using the full year (xxxx).
Please list your most recent degree.
Please list additional degree, if any.
All biology (including anatomy and neuroscience), chemistry, biochemistry, physics, mathematics, and statistics classes need to be included in the Science GPA.
Information about Parent/guardian 1
Please provide job title, company, and a brief description of responsibilities or other pertinent details.
Information about Parent/guardian 2
Please provide job title, company, and a brief description of responsibilities or other pertinent details.
Application plans
Make sure to include your individual section scores.
Have you previously applied to a healthcare school?
Having your MCAT or DAT score in hand is vital before you begin to choose schools. If you have your MCAT or DAT score, give us an indication of which medical or dental schools you are considering applying to.
Pre-Med: Have you applied to at least 10 schools where your MCAT score and GPA match the median for the program, as well as 5 where you exceed the median? Dental Students: Have you applied to at least 5 schools where your DAT score and GPA match the median for the program, as well as 3 where you exceed the median? All: Have you reviewed the out-of-state acceptance rate for states where you are not a resident to be sure acceptance is plausible? Have you looked at the mission of each school to be sure you are a good fit (especially important at HCBUs)? If you are deviating from these recommendations, please explain your rationale.
Honors, Awards, Special Skills
What events in your life helped to shape your identity? You can include where you were born, information about your family, accomplishments, anything that you feel helped to make you who you are.
Please include a description of your military service, including dates, trainings, and deployments.
Please list all honors and awards. We expect these will be mostly academic, you may also include any athletic, professional, or other honors/awards.
Please list all languages you speak, and indicate level of proficiency, not including English. Please list any other skills, qualities, or experiences that make you stand out from your peers.
Name and describe all of the activities that you do/have done to develop and demonstrate manual dexterity skills.
Academic and Extracurricular Experience
The following section will ask you to list your academic and extracurricular activities: Awards and Honors, Clinical Experience, Research Experience, Extracurricular and Service Learning Activities, Volunteer Activities, and Paid Work. Please do NOT repeat experiences from section to section--list them in the most appropriate place.
Clinical Experiences
List all clinical experience, including any significant clinical experience prior to your undergraduate years. Clinical experiences may include shadowing, volunteering in a hospital or clinic, working on clinical research trials, volunteering/working as a phlebotomist, CNS, etc. Most experience that includes interaction with health professionals and/or patients can be considered clinical. List these experiences in chronological order, beginning with the most recent.
(student shadow, volunteer, EMT, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same research experience, please write more than one set of inclusive dates.
Total number of months you were involved in this clinical experience.
Approximate hours per week.
Please indicate if you received credit (and how much) or some kind of payment.
Please include a detailed description of the types of patient interactions involved with this clinical experience. Describe the nature of your interactions with patients. Give examples of typical and unique interactions with patients. What procedures did you perform? What did you learn from this experience about working with patients?
(student shadow, volunteer, EMT, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same research experience, please write more than one set of inclusive dates.
Total number of months you were involved in this clinical experience.
Approximate hours per week.
Please indicate if you received credit (and how much) or some kind of payment.
Please include a detailed description of the types of patient interactions involved with this clinical experience. Describe the nature of your interactions with patients. Give examples of typical and unique interactions with patients. What procedures did you perform? What did you learn from this experience about working with patients?
(student shadow, volunteer, EMT, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same research experience, please write more than one set of inclusive dates.
Total number of months you were involved in this clinical experience.
Approximate hours per week.
Please indicate if you received credit (and how much) or some kind of payment.
Please include a detailed description of the types of patient interactions involved with this clinical experience. Describe the nature of your interactions with patients. Give examples of typical and unique interactions with patients. What procedures did you perform? What did you learn from this experience about working with patients?
(student shadow, volunteer, EMT, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same research experience, please write more than one set of inclusive dates.
Total number of months you were involved in this clinical experience.
Approximate hours per week.
Please indicate if you received credit (and how much) or some kind of payment.
Please include a detailed description of the types of patient interactions involved with this clinical experience. Describe the nature of your interactions with patients. Give examples of typical and unique interactions with patients. What procedures did you perform? What did you learn from this experience about working with patients?
Research Experience
List all research experiences, including any significant research your did prior to your undergraduate studies.
(Research assistant, REU, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same research experience, please write more than one set of inclusive dates.
Total number of months you were involved in this research experience.
Approximate hours per week.
Please indicate if you received credit (and how much) or some kind of payment.
Brief description of this research project and your role in it.
(Research assistant, REU, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same research experience, please write more than one set of inclusive dates.
Total number of months you were involved in this research experience.
Approximate hours per week.
Please indicate if you received credit (and how much) or some kind of payment.
Brief description of this research project and your role in it.
(Research assistant, REU, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same research experience, please write more than one set of inclusive dates.
Total number of months you were involved in this research experience.
Approximate hours per week.
Please indicate if you received credit (and how much) or some kind of payment.
Brief description of this research project and your role in it.
(Research assistant, REU, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same research experience, please write more than one set of inclusive dates.
Total number of months you were involved in this research experience.
Approximate hours per week.
Please indicate if you received credit (and how much) or some kind of payment.
Brief description of this research project and your role in it.
Dental/Optometry/Other(specify) Shadowing
List all of the dental/optometry/other shadowing experiences that you have had and are planning to have before you submit your application.
In your description of what you observed, please include information about any procedures you assisted with or any office or technical work that you performed at the practice. Describe the nature of the practice and patients: pediatric? adult? elderly? suburban/rural/urban? affluent? free clinic?
In your description of what you observed, please include information about any procedures you assisted with or any office or technical work that you performed at the practice. Describe the nature of the practice and patients: pediatric? adult? elderly? suburban/rural/urban? affluent? free clinic?
In your description of what you observed, please include information about any procedures you assisted with or any office or technical work that you performed at the practice. Describe the nature of the practice and patients: pediatric? adult? elderly? suburban/rural/urban? affluent? free clinic?
In your description of what you observed, please include information about any procedures you assisted with or any office or technical work that you performed at the practice. Describe the nature of the practice and patients: pediatric? adult? elderly? suburban/rural/urban? affluent? free clinic?
Extracurricular/Campus Engagement
What extracurricular and campus activities have you been involved with? Please list only those activities that you had a sustained interest in.
(name of student organization, sports team, volunteering activity, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same extracurricular/community service activity, please write more than one set of inclusive dates.
Total number of months you were involved in this Extracurricular/Community Service activity.
Please list any leadership positions, with dates held.
Brief description of your involvement in this activity.
(name of student organization, sports team, volunteering activity, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same extracurricular/community service activity, please write more than one set of inclusive dates.
Total number of months you were involved in this Extracurricular/Community Service activity.
Please list any leadership positions, with dates held.
Brief description of your involvement in this activity.
(name of student organization, sports team, volunteering activity, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same extracurricular/community service activity, please write more than one set of inclusive dates.
Total number of months you were involved in this Extracurricular/Community Service activity.
Please list any leadership positions, with dates held.
Brief description of your involvement in this activity.
(name of student organization, sports team, volunteering activity, etc.)
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same extracurricular/community service activity, please write more than one set of inclusive dates.
Total number of months you were involved in this Extracurricular/Community Service activity.
Please list any leadership positions, with dates held.
Brief description of your involvement in this activity.
Volunteer Activities
Please list any volunteer experiences that were NOT clinical or research experiences. If you volunteered on a research project or in a clinical setting, please list those activities in the "Clinical" and "Research" sections.
Title/name of experience.
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same volunteer activity, please write more than one set of inclusive dates.
Total number of months you were involved in this Volunteer activity.
Brief description of your involvement in this activity.
Please list any volunteer experiences that were NOT clinical or research experiences. If you volunteered on a research project or in a clinical setting, please list those activities in the "Clinical" and "Research" sections.
Title/name of experience.
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same volunteer activity, please write more than one set of inclusive dates.
Total number of months you were involved in this Volunteer activity.
Brief description of your involvement in this activity.
Please list any volunteer experiences that were NOT clinical or research experiences. If you volunteered on a research project or in a clinical setting, please list those activities in the "Clinical" and "Research" sections.
Title/name of experience.
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same volunteer activity, please write more than one set of inclusive dates.
Total number of months you were involved in this Volunteer activity.
Brief description of your involvement in this activity.
Please list any volunteer experiences that were NOT clinical or research experiences. If you volunteered on a research project or in a clinical setting, please list those activities in the "Clinical" and "Research" sections.
Title/name of experience.
Inclusive dates (please enter as mm/yyyyy-mm/yyyyy). If you stopped and started the same volunteer activity, please write more than one set of inclusive dates.
Total number of months you were involved in this Volunteer activity.
Brief description of your involvement in this activity.
Have you worked to help to pay for your undergraduate education? Please give a brief description of your job tasks, and indicate how many hours you worked per week.
Written answers
What is your motivation for applying to a graduate health program? Include in your answer the influence of teachers, family, physicians, dentists, PAs or any health care professional that helped motivate you toward this career path. Also include any unusual circumstances that have occurred to you that have also motivated you to make this decision (e.g., a serious illness to yourself or a family member). Identify people, events, and experiences.
Who will you be as a health professional? What do you want people to say about you at your retirement party? Why is this your goal, and what have you done thus far that has set you up to accomplish this?
What are your defining attributes? Share a story that highlights some of those.
Share an example of a time when you faced a challenge, setback, or failure. How did you work to overcome it? How did it affect you, and what did you learn from the experience?
Are you open to speaking to UMass Amherst students and alumni about your experiences in graduate school (once admitted) and beyond? If so, what is your preferred method of contact, and are there any particular areas in which you'd especially enjoy offering guidance? Examples: a specialty area within your field, LGBTQ candidate experiences, URIM candidate experiences, military scholarships, etc.
Did you undertake a study abroad experience? Please describe where you went. Did you do a homestay or live in independent housing? What were the important aspects of this experience for you? How did you grow as a result of this experience?
Is there anything else professional schools should know? Or is there anything that the Pre-Med/Pre-Health Advisors should know so that we can best support your application process? This might include something special about you, a difficult circumstance that you have overcome, the reasons behind a weak semester, withdrawal from a course or absence from the university, or special or disadvantaged circumstances in your background.
Disciplinary Action Disclosure
This next section will ask if you have ever been subject to disciplinary action or if you have ever been accused or convicted of any crimes. Failure to fully disclose on an application can result in the withdrawal of an acceptance, or even dismissal from a professional school. Even if a conviction has been "expunged," it may show up on a background check, or court records may show up on a simple internet search.

It is generally better to be up front and explain the circumstances than to be perceived as being evasieve. If your answer is "yes," please contact your PreHealth Advisor to discuss the issue confidentially.

Have you ever been subject to disciplinary action by the University?
Have you ever been accused or convicted of a crime, either a felonly or a misdemeanor?
Obtain a copy of your Conduct Report from the Dean of students office and upload it here as a pdf.
Files must be less than 2 MB.
Allowed file types: pdf.
Documents
Please upload a .pdf file of your personal statement (a draft is fine) for your primary application. While each application service has its own unique prompt, all prompts ask some version of the following: Explain why you want to go to [name of health profession] school? Essays (drafts) uploaded here do not need to meet the length requirements set by the individual application services, though your draft should be of reasonable length. The current character limit for the relevant application services are as follows: AMCAS: 5300 AACOMAS: 4500 TMDSAS: 5000 AADSAS: 4500 OPTOMCAS: 4500 AACPMAS: 4500
Files must be less than 25 MB.
Allowed file types: pdf.
Please upload your current resume as a PDF document to preserve formatting.
Files must be less than 25 MB.
Allowed file types: pdf.
You may provide additional documents if you feel they may be useful in support of your application.
Files must be less than 2 MB.
Allowed file types: pdf.
Waivers of access to letters of recommendation are optional and voluntary . Keep in mind that, although confidentiality is not required, most medical schools expect it.
Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Letters of Recommendation
Please identify the individuals you are considering as recommenders. You will need 4-6 individual letters of recommendation to be included with the official letter from the UMass Amherst Pre-Med/Pre-Health Advisors. Your letters should include people who know you professionally and academically, including at least one, ideally two, letters from science and math professors who have taught you in class. A letter from a practicing member of your future health profession is a useful addition.
Recommender 1
Examples: Janet Smith, M.D. Jack Walker, Ph.D., NCSP Use correct capitalization and spelling, and do not include a personal title like Dr.
How do you know this person?
Recommender 2
Examples: Janet Smith, M.D. Jack Walker, Ph.D., NCSP Use correct capitalization and spelling, and do not include a personal title like Dr.
How do you know this person?
Recommender 3
Examples: Janet Smith, M.D. Jack Walker, Ph.D., NCSP Use correct capitalization and spelling, and do not include a personal title like Dr.
How do you know this person?
Recommender 4
Examples: Janet Smith, M.D. Jack Walker, Ph.D., NCSP Use correct capitalization and spelling, and do not include a personal title like Dr.
How do you know this person?
Recommender 5
Examples: Janet Smith, M.D. Jack Walker, Ph.D., NCSP Use correct capitalization and spelling, and do not include a personal title like Dr.
How do you know this person?
Recommender 6
Examples: Janet Smith, M.D. Jack Walker, Ph.D., NCSP Use correct capitalization and spelling, and do not include a personal title like Dr.
How do you know this person?
Giving Back