Penn State College of Medicine Orientation 2014

Biographical & Education Information

 
Congratulations on your acceptance to the Penn State College of Medicine in Hershey! We are looking forward to meeting you during the first week of Orientation.

Orientation officially begins on Wednesday, July 16 at 8AM.

All of the information requested in this survey will help us to prepare for your arrival. Please contact Amy Bockis (abockis@hmc.psu.edu) if you have any questions regarding this survey.
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1. Name (First, Middle, Last)
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2. Phonetic Spelling (Full Name)
Example: Amy Kay Bockis (eh-mee k baw-kiss)
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3. Birthdate
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4. Email Address
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5. Phone Number (Mobile- Preferred or Home)
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6. Hometown, Homestate
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7. Undergraduate School(s)
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8. Undergraduate Degree(s)
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9. Undergraduate Major(s)/Minor(s)
10. Graduate School(s)
11. Graduate Degree(s)
12. Graduate Major(s)/Minor(s)
13. Gender Identity
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14. T-Shirt Size (Small through Extra Large)