1. Welcome!

Welcome to the 2013-2014 academic year at University of Dayton! Please provide the following information so that we can provide you with up to date information and resources of the Premedical Programs Office.

* 1. Please complete the following sections.

Today's Date

* 2. Demographic Information:

* 3. Current Status:

* 4. Please provide your 2013-2014 CAMPUS ADDRESS.

NOTE: If you are in campus housing:
* Enter your 4 digit zip in the space provided.
* Leave City and State spaces BLANK.

* 5. Please provide your PERMANENT ADDRESS and phone.

* 6. What is your current MAJOR?

* 7. Who is your current advisor?

* 8. Who is your MED/DEN advisor? (Will be the same as academic advisor for MED/DEN majors.)

* 9. Anticipated Graduation Year

* 10. Which of the following resources would you find helpful for receiving information from the Premedical Programs Office?

  Definitely Valuable Somewhat Valuable Not Valuable
Mailed Copy of Newsletter
Premed Programs Website

* 11. Which of the following careers is of interest to you?