Peer Engagement and Enrichment Program (PEEP)
2019 - 2020 Application

Short Answer Questions

The Peer Engagement and Enrichment Program (PEEP) is a peer mentoring program aimed at supporting undocumented individuals who are interested in applying for admission to a graduate or professional program in the health professions. It is open to individuals in any state. Program participants will have online-based gatherings once a month from October 2019 through March/April 2020. Individuals will be able to share resources, knowledge and attain support throughout their graduate/professional program application process in a safe environment.

Participants will benefit in the following ways:

Peer support and mentorship throughout the program
Application assistance and guidance
Networking opportunities
Connect with PHD members who are currently in health graduate/professional programs

Eligibility Requirements:

Be undocumented or DACAmented
Be currently residing in the United States
Be applying for admission to a graduate professional program in the foreseeable future
Be available to attend each of the monthly online gatherings
Be available to attend an in-person retreat in March/April 2020
Be interested in engaging with Pre-Health Dreamers’ advocacy efforts

Program Agenda (Webinars):

Session 1: Introductions, Overview & Self-Care
Thursday, October 17th 5-7 PM PST/ 8-10 PM EST

Session 2: Becoming a Competitive Applicant
Thursday, November 14th: 5-7 PM PST/ 8-10 PM EST

Session 3: Budget and Finances
Thursday, January 16th: 5-7 PM PST/ 8-10 PM EST

Session 4: Applications & Exams
Thursday, February 20th: 5-7 PM PST/ 8-10 PM EST

Application Deadline:

September 30, 2019 11:59 PM PST. Deadline extension available by contacting program facilitators via email at: yadi@phdreamers.org

Notifications and next steps will be sent out early October by email.

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* 1. Contact Information

Name

City

State/Province

Postal Code

Email Address

Phone Number

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* 2. Please state your race/ethnicity (Please Check All That Apply)

Latinx/Hispanic

Afro-Latinx

Black/African American

Asian/Asian American

Pacific Islander

White

Prefer Not To Say

Another (please specify)

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* 3. Please describe your gender

Female

Male

Non-binary/third gender

Prefer Not to Say

Another (please specify)

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* 4. What is your current immigration status?

Undocumented (Without DACA or similar relief)

Deferred Action for Childhood Arrivals (DACA) recipient

Temporary Protected Status (TPS) recipient

U Nonimmigrant Visa (U-Visa) recipient

Recipient of other immigration relief

Legal permanent resident (formerly undocumented)

Citizen (formerly undocumented)

Other (please specify)

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* 5. What graduate program(s) will you apply to? (i.e. Master's in Public Health, Nursing, Dentistry, Medicine, etc.)

Postbaccalaureate

Medicine

Nursing

Public Health

Dentistry

Physical Therapy

Occupational Therapy

Ph.D.

Pharmacy

Other (please specify)

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* 6. What year will you be applying in?

2019

2020

2021

Other (please specify)

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* 7. What is your overall GPA?

4.1 or above

3.6 - 4.0

3.1 - 3.5

2.6 - 3.0

2.1 - 2.5

2.0 or below

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* 8. What is your BCPM (Biology, Chemistry, Physic, Math) GPA?

4.1 or above

3.6 - 4.0

3.1 - 3.5

2.6 - 3.0

2.1 - 2.5

2.0 or below

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* 9. What stage are you in the application process? (completed personal statement, completed coursework required, obtained clinical experience, etc.) (200 - 300 Words)

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* 10. Have you completed all the pre-requisite courses required for admission into your graduate/professional program? List all courses completed along with grade received.

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* 11. Have you taken the standardized exam required for admission into your desired graduate/professional program? (MCAT, DAT, GRE, etc.)

Yes

Other (please specify)

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* 12. If you answered yes, what was your exam score?

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* 13. Can you commit to meeting once a month for two hours for the PEEP support group online meetings?

Yes

Other (please specify)

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* 14. Would you be interested in engaging in PHD’s advocacy, networking, and mentorship efforts?

Yes

Other (please specify)

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* 15. Over the course of your life, please indicate your experiences accessing the following:

	Very easy	Easy	Neither easy nor difficult	Difficult	Very Difficult	Not applicable
Internships	Internships Very easy	Internships Easy	Internships Neither easy nor difficult	Internships Difficult	Internships Very Difficult	Internships Not applicable
Scholarships	Scholarships Very easy	Scholarships Easy	Scholarships Neither easy nor difficult	Scholarships Difficult	Scholarships Very Difficult	Scholarships Not applicable
Volunteer opportunities	Volunteer opportunities Very easy	Volunteer opportunities Easy	Volunteer opportunities Neither easy nor difficult	Volunteer opportunities Difficult	Volunteer opportunities Very Difficult	Volunteer opportunities Not applicable
Mentorship	Mentorship Very easy	Mentorship Easy	Mentorship Neither easy nor difficult	Mentorship Difficult	Mentorship Very Difficult	Mentorship Not applicable
Peer Support	Peer Support Very easy	Peer Support Easy	Peer Support Neither easy nor difficult	Peer Support Difficult	Peer Support Very Difficult	Peer Support Not applicable
Financial Support	Financial Support Very easy	Financial Support Easy	Financial Support Neither easy nor difficult	Financial Support Difficult	Financial Support Very Difficult	Financial Support Not applicable
Employment Opportunities	Employment Opportunities Very easy	Employment Opportunities Easy	Employment Opportunities Neither easy nor difficult	Employment Opportunities Difficult	Employment Opportunities Very Difficult	Employment Opportunities Not applicable
Career Support	Career Support Very easy	Career Support Easy	Career Support Neither easy nor difficult	Career Support Difficult	Career Support Very Difficult	Career Support Not applicable
Knowledgeable advising	Knowledgeable advising Very easy	Knowledgeable advising Easy	Knowledgeable advising Neither easy nor difficult	Knowledgeable advising Difficult	Knowledgeable advising Very Difficult	Knowledgeable advising Not applicable

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* 16. What inspires or has inspired you to pursue a health graduate/professional program? (200 - 300 Words)

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* 17. What are the greatest challenges and/or stressors you have faced due to your immigration status? Please explain. (200 - 300 Words)

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* 18. What is your greatest concern with regard to reaching your goals? (200 - 300 Words)

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* 19. What does the ideal PEEP support group look like to you? (200 - 300 Words)

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* 20. Have you participated in a peer support group and/or advocacy group before? If so, what was that experience like and how did you like it? (200 - 300 Words)

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* 21. How can the PEEP community contribute to your and others’ personal enrichment? (200 - 300 Words)

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* 22. What contributions can you make to the PEEP support group in terms of support and/or mentorship for other participants so that they can also reach their goals? (200 - 300 Words)