EmPrep Webinar Pre-Polls
Please fill out the survey in order to register for the Emory University School of Medicine's EmPrep webinar series.
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email Address
(Required.)
4.
Phone Number
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5.
City and State of Residence
(Required.)
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6.
At which institution do/did you attend undergrad? Please write out the full name of the institution.
(Required.)
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7.
Have you ever participated in an Emory School of Medicine program before?
(Required.)
Yes
No
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8.
Do you identify as:
(Required.)
First-generation college student (Neither parent has attended a 4 year university)
Low-income background (Qualified for or receives Pell Grant aid)
Neither
Not Applicable
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9.
How would you describe your ethnicity?
(Required.)
Hispanic or Latino
Non-Hispanic or Non-Latino
Prefer Not To Say
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10.
How would you describe your race? (Select all that apply)
(Required.)
White
Black or African American
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Another race
Prefer Not To Say
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11.
Where are you in your medical school application process?
(Required.)
Haven't started
Preparing for the MCAT
Writing my personal statement
Submitting my application
Preparing for interviews
Waiting for acceptance decisions
Accepted into a program
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12.
Which factors are priorities in your medical school search? (Select all that apply)
(Required.)
Reputation of the School
Location of the School
Diversity and Inclusion Programs
Financial Aid/ Scholarships
Family or Personal Connection
Academic Support and Wellness Programs
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13.
Would you like to be added to our EmPrep listserv to receive updates, resources, and opportunities?
(Required.)
Yes
No
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14.
Which webinar would you like to receive an invitation to? (Select all that apply)
(Required.)
General MD Admissions Processes and Best Practices (October 25)
Understanding Emory School of Medicine: Environment and Community (October 29)
Outreach to Latinx Students: Personal Statements and Cultural Competency (November)
Using HBCU Networks to Strengthen Your Application (February)
15.
Thank you for completing the survey. Once you submit your responses, you will have registered for the EmPREP webinars you selected in question 14. You will receive an email reminder with the link to the event the week before each webinar. Feel free to leave any comments concerning the registration process below. We look forward to seeing you there!