Application for the Hampton University

Application for the Hampton University Guaranteed Admissions Program

Preferred Applicant Track Program Summary:

The purpose of the Virginia Tech Carilion School of Medicine-Hampton University (VTCSOM-HU) Guaranteed Admissions Program/Preferred Applicant Track program is to provide an expanded opportunity for acceptance to medical school for Hampton University students who come from diverse backgrounds and who have a sincere interest in science and medicine. In addition to the preferred applicant track selection in their sophomore year, students selected for this program will participate in two VTCSOM resident summer preparatory programs during the summer breaks prior to their junior and senior years of college. These summer programs emphasize research, clinical skills experience, and MCAT preparation. Students who complete all of the requirements to maintain the guarantee as outlined in the Memorandum of Understanding (Appendix B) will receive a formal offer of acceptance to the Virginia Tech Carilion School of Medicine during their senior year of college.

Eligibility

To be eligible to apply to the program, a student must satisfy each of the following requirements:

U.S. Citizenship or Permanent Residency Have sophomore standing and be enrolled in the Pre-Medical Curriculum Be in good academic and professional standing

Demonstrate and maintain atleast a 3.3 (B+) cumulative grade point averageHave completed 1 year of Biology with laboratory, and 1 year of Chemistry with laboratory

Express a sincere interest in medicine

Application Process

A completed, printed, and signed application, including the required essay

An official copy of Hampton University transcripts (if unoffical, transcripts must be verified by faculty)

Two professional references, including one from a science faculty member

Submit all application materials to: Mr. Michael Druitt, Pre-Health Coordinator, Dean’s Office, 110 Turner Hall.

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To be considered, applicants should sumbit the following by January 29, 2016:

initiator:[email protected];wfState:distributed;wfType:email;workflowId:7cd659f25c5c3f44b44ef812df3279cb

Deadlines

Applying early is encouraged. Applications and all supporting materials (including essays, transcripts, and letters of reference) must be submitted to the Hampton University Pre-Health Coordinator by January 29, 2016 (during the sophomore year). Applications must be complete by the close of business on this date to be considered by the selection committee. There are no exceptions to this deadline. It is imperative that all application materials are received by the stated deadline.

Selection

An initial review of all applications will be conducted by Hampton University faculty. All qualified applicants will be invited to participate in individual interviews held on Hampton University's campus during the month of February. Applicants must participate in order to be considered by the committee. Applicants will be notified of their interview status by early February. The purpose of the interview is to develop a sense of the candidate’s personality and oral communication skills and convey these qualities to the committee. Hampton University faculty and interviewers will help inform the selection committee; however, the final decisions are made by the selection committee.

The Guaranteed Admissions Program Selection Committee will conduct a holistic review of all qualified applicants and select two primary nominees and additional alternate nominees.

It is important to note that selection is not made on the basis of academic performance alone. In addition to academic qualifications, the same noncognitive qualities taken into consideration for the Guaranteed Admissions Program as are used in regular medical school acceptance. These include, but are not limited to: personality, character, maturity, professionalism, empathy, and interpersonal skills.

This agreement is with Hampton University and students may not petition the VTCSOM in the event they fail to adhere to the program requirements.

Curriculum

The first summer of the program will primarily emphasize research with a sampling of clinical experiences through Carilion Clinic and MCAT preparation. This will include spending 10 weeks participating in the Virginia Tech Multicultural Academic Opportunities Program (MAOP), working with a Virginia Tech Carilion Research Institute (VTCRI) faculty member in a mentor/protégé relationship to design, conduct, and present research. Participants will interact with other undergraduate and graduate student researchers in different areas of study, use state-of-the-art equipment, and attend seminars pertaining to research and graduate school. During this time, participants will devote approximately 40 hours a week to research and other scholarly activities and participate in an exploratory retreat. At the end of the first summer, the interns will present an abstract, poster presentation, and oral presentation to peers, mentors, and the university community.

The second summer of the program will primarily emphasize clinical skills with an integrated research component and MCAT preparation. Participants will also be provided assistance with preparing their AMCAS application. Participants will interact with VTCSOM faculty, staff, and students and participate in activities held at the medical school and in the surrounding local community. During this summer, participants will be expected to begin their AMCAS application, take the MCAT, and prepare for VTCSOM's MMI interviews during the fall semester2of their senior year.

Virginia Tech Carilion School of Medicine-Hampton University (VTCSOM-HU) Guaranteed Admissions Program/Preferred Applicant Track

Timeline for 2016 - 2017 Program Participants

Freshman Year

Sophomore Year

Fall Classes begin at Hampton University

Spring Classes continue + involvement in HU pre-med program

Fall Classes resume at Hampton University

Spring Classes continue + planned medical and/or research activities

January 29 VTCSOM-HU application due

March VTCSOM-HU selections announced

May 23

April

First year clinical skills/research program at VTCSOM

Supplemental application materials due

Junior Year Fall Classes resume at Hampton University

Spring Classes continue + involvement in medical/research activities

Feb-May

June-July

June

July- Aug

Register for MCAT and begin AMCAS application

Second year clinical skills/research program at VTCSOM

Submit AMCAS application

Complete MCAT Test

Senior Year Fall Classes resume at Hampton University

September Complete VTCSOM Secondary application

Sept - Nov Participate in VTCSOM MMI interview process

Spring Classes continue + involvement in medical/research activities

March Complete VTCSOM class reservation and deposit upon receiving a formal admissions acceptance

May

June

July

Graduate from Hampton University

VTCSOM matriculation requirements complete

Matriculate to Virginia Tech Carilion School of Medicine

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Application for the Hampton University Guaranteed Admissions Program - Preferred Applicant Track

Applicant Information ----------------------------------------------------------------------------------------------

Full Name:

Date of Birth (MM/DD/YEAR):

Student ID Number:

Undergraduate Major:

Race: Ethnicity: Cumulative GPA: Student E-Mail:

Personal E-Mail:

Educational Institutional Actions: Yes No (If yes, please provide attach explanation)

U.S. Citizen or Permanent Resident? Yes No

Gender: Male Female

No Misdemeanors or Felonies: Yes (If yes, please provide attach explanation)

Current/School Address: Permanent Address:

Parent(s)/Legal Guardian Information ------------------------------------------------------------------------

Name: Occupation:

Name:

Education:

Education: Occupation:

References ------------------------------------------------------------------------------------------------------------- Please provide the full names of the persons writing your reference letters and their relationship to you. At least one reference must be from basic science faculty who can speak knowledgably about your abilities to be successful within our program.

1. Name : Relationship:

2. Name: Relationship:

The Family Education Rights and Privacy Act of 1974 (FERPA) and its amendments guarantee students access to their educational records. Students, however, are entitled to waive their right of access concerning recommendations. I request that officials of Hampton University, Virginia Tech, and Virginia Tech Carilion School of Medicine hold this recommendation in confidence. The following signed statement is the applicant’s wish regarding the recommendation.

I waive my rights to inspect the contents of this recommendation, OR

I do not waive my rights to inspect the contents of this recommendation

Date Signature 4


Preferred Applicant Track

Academic Plan

As indicated in the Eligibility Section on the first page of this application packet, there are certain courses required for application to the program. These courses are Biology (1 year) and General Chemistry (1 year). Students may be accepted if they are currently enrolled in the second part of one of these science courses at the time their application is submitted. However, students will still be responsible for passing the course and maintaining the required GPA. There will be no exceptions to this coursework requirement as it ensures students have the basic foundation for success in the program. More information regarding required coursework for acceptance into the program and maintaining the guarantee can be found in the Memorandum of Understanding (Appendix B).

Please complete the tables below with information regarding your completed coursework. Please provide information including the Course Number, Name, and Grade for completed. Be sure to also include the courses you plan to take in the future semesters and leave the grade space blank. Note: This form does not substitute an academic transcript.

Example:

Freshman Year Courses:

Fall Semester

Course # Course Name Grade

Spring Semester


Summer Semester


Sophomore Year Courses: Fall Semester


Spring Semester


Summer Semester


BIO 141 Biology I A

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Junior Year Courses:

Fall Semester


Spring Semester


Summer Semester


Senior Year Courses:

Fall Semester


Spring Semester


Summer Semester


ALL APPLICANTS MUST SIGN BELOW. By signing this agreement you agree that you have read and understand all information included in the application and attached documents, including Appendix A and B. Your signature also indicates that all information provided within this application is complete, factually correct, and honestly presented.

___________________________ ___________________ ____________ Print Name Signature Date

Before returning your completed application, make sure you have:

Completed pages 4-8 of the application in typed, professional format Submitted letters of recommendation to persons of your choice Attached a copy of your transcript Signed this page

Return all application materials to: Mr. Michael Druitt, Pre-Health Coordinator, Dean’s Office, 110 Turner Hall.

Applications are due no later than 16 January by 5:00pm.

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Medical and Non-Medical Experiences ……………………………………………………………………………………………………………………………………………

Research Experience: Science Lab Work / Other Research Involvement / Publications / Posters:

…………………………………………………………………………………………………………………………………………… Medical Volunteering: Clinical-Hospital Volunteering / Physician Shadowing / Other Medical Experience /

Medical Employment / Scribe / EMT Service:

…..……………………………………………………………………………………………………………………………………..… Campus / Community Involvement: Campus-Community Volunteering / Tutor / TA / Mentor / Other Employment:

……………………………………………………………………………………………………………………………………………. Teamwork / Leadership / Other Achievement: Campus Clubs / Sports / Honors / Artistic Accomplishments:

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Essay

Please write an essay to address the following. What do you hope to learn/accomplish during this program? What skills/knowledge do you bring to the program and how will this experience assist you with your career goals? (This essay should not exceed 250 words.)

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APPENDIX A: REFERENCE FORM

Applicant Name: Reference Name:

Recommendation

Your recommendation is important of the acceptance process for the Hampton University Guaranteed Admissions Program/Preferred Applicant Track with Virginia Tech Carilion School of Medicine. We realize that the check-off items sometimes do not provide you the opportunity to characterize the applicant as fully as you would like. Please feel free to provide us with any additional comments on a separate document.

Please complete the chart below based on your knowledge of the applicant:

Factors Excellent Good Poor N/A

Academic Potential

Maturity

Motivation

Demonstrated Leadership Skills

Verbal Communication

Written Communication Analytical ability

Research aptitude

Your overall assessment of the applicant:

Recommended Recommend with reservation

Signature Date This form should be returned to the student in a signed, sealed envelope. Please

note that the deadline for the student’s application is due January 29, 2016

Highly Recommend

Comments:

Virginia Tech Carilion School of Medicine - Hampton University Memorandum of Understanding for Guaranteed Admission/Preferred Applicant Track

The Virginia Tech Carilion School of Medicine (VTCSOM) agrees to offer a Preferred Applicant track to two students per year attending Hampton University (HU). These students will be recommended by Hampton University faculty and selected by a committee after applying to the Hampton University/VTCSOM Guaranteed Admission/Preferred Applicant Track.

Each student selected must be in good academic and professional standing at Hampton University, demonstrating at least a B+ overall GPA by the end of the fall semester of their sophomore year. Students are also required to obtain respectable recommendations. At least one recommendation must come from a science faculty member at Hampton University. Applicants must achieve a B+ overall GPA by the time they submit their AMCAS application. Each student would have demonstrated sincere interest in medicine as evidenced by his/her personal statement and significant medically related experiences. Students must understand that this agreement is with their undergraduate school and may not petition the VTCSOM in the event they fail to adhere to the program requirements.

The students will receive a formal offer of acceptance to the Virginia Tech Carilion School of Medicine once they have completed the requirements to maintain the guarantee. Guaranteed Admission/Preferred Applicant track students are expected to complete their undergraduate studies in four years and matriculate to medical school in the July/August immediately following their graduation, two years after admission to the guaranteed admissions/preferred applicant track program. Although college students occasionally finish their studies in less than four years, the guaranteed slot would not be altered by early graduation.

In addition to the stated GPA requirements, the following additional requirements to maintain the preferred applicant guarantee must be expressly communicated in writing both to the students who apply and again to those who are selected for this program.

1. Graduate with at least a B+ cumulative grade point average;2. Submit their Honors Dossier by the stated deadline. (November 1 for May graduation;April 1 for an August graduation); 3. Achieve MCAT scores of at least 503,(to be taken before September ofthe senior year of study -- the academic year prior to medical school matriculation). Note: The minimum MCAT 2015 scores will be determined later. 4. Register with AMCAS (www.aamc.org/students/applying/amcas) and notify theVTCSOM Admissions Office of their AMCAS identification number by May 30. 5. Submit their AMCAS application by June 30 of the summer prior to their seniorundergraduate year for the upcoming AMCAS application cycle. 6. Complete the VTCSOM secondary application by September 1.7. Participate in the VTCSOM Multiple Mini Interview (MMI) process during the fall oftheir senior year. 8. Pay the $100 class reservation fee within two weeks of receiving the formal offer ofacceptance to hold their class seat. 9. Fulfill all of the prerequisites of the regular MD applicants:

a. General Biology with Lab: 2 semesters;b. General Inorganic Chemistry with Lab: 2 semesters;c. Organic Chemistry with Lab: 2 semesters;d. Physics with Lab: 2 semesters;

http://www.aamc.org/students/applying/amcas

e. Mathematics: 2 semesters or 1 semester each of Calculus and Statistics;f. English: 2 semesters or 1 semester each of English and Philosophy

(Transfer, AP/IB, and repeated course grades are not used in GPA calculation) 10. Students will take at least 4 HU upper level science courses selected from a listprovided by the chair of the Health Sciences Advisory Committee, which may include:

a. Comparative Anatomy (BIO 301)b. Human Anatomy (BIO 302)c. General Microbiology (BIO 304) Recommendedd. Vertebrate Morphogenesis (BIO 308)e. Human Physiology (BIO 336)f. Techniques in Molecular Genetics (BIO 404)g. Quantitative Analysis (CHEM 309, CHEZ taken in the same semester)

Obtain prior permission from the Director of the Guaranteed Admissions/Preferred Track Program at Hampton University to substitute a course for one of the above listed courses. 11. Maintain good standing with Hampton University in terms of requirements tograduate, including both academic and professional performance. 12. Participate in the two VTCSOM resident summer preparatory programsemphasizing research, clinical skills experience, and MCAT prep conducted on the Roanoke, VA, campus. The first program will be conducted during the sophomore-junior year summer break, and the second during the junior-senior year summer break. 13. Participate in at least 100 hours of medical volunteering activity during the junior andsenior years. 14. Meet all the VTCSOM matriculation requirements as published on the VTCSOMwebsite (www.vtc.vt.edu), including VTCSOM technical standards, medical screen and immunizations, and a criminal background check. 15. Graduation from Hampton University is mandatory to maintain the guarantee.

In the event disputes arise as to the application of these program conditions, Virginia Tech Carilion School of Medicine retains the right to interpret the technical aspects of these requirements and provide guidance to Hampton University in conformity with other VTCSOM policies and procedures.

VTCSOM-HU Application - APPENDIX B – Revised 11.30.15

http://www.vtc.vt.edu/

Documents

Application for the Hampton University