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Application

In this Section
Upstate Medical Application
Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Home Phone:
E-mail:
Current High School:
Please answer one of the following in 500-1000 words: “You have described yourself as being from a rural community or from an underrepresented minority. What effect has this had on you and on your desire to become a physician?"  OR "What has led you to a career in medicine and what do you hope to accomplish in the medical field?"

Recommendation Form