High School/College Activities and Leadership
UMKC School of Medicine Council on Selection reviews your high school/college activities to better understand you and your involvement and leadership outside of the classroom. Please provide a detailed description of your involvement with school sponsored clubs and organizations; community related activities; volunteer experience and/or community service; work experience; and any honors/awards received. For each activity, please provide the dates of participation and the estimated total hours you devoted to the activity. Please also provide a detailed description of and specific involvement with any activity/organization. Please type your responses in the space provided below. You are limited to 10 activities/experiences/honors, so please select those that you feel best represent your involvement and leadership. Please do not list health experiences in this section, as those experiences should be entered in the health experiences section of the application. (For current college students, please list both high school and college activities if applicable.)
Name of activity (please do not use acronyms):
Leadership Position Held:
Estimated total hours devoted to activity (if applicable):
Start Date:
End Date:
Description of activity/organization and your specific involvement with the activity/organization: (up to 200 characters)
Health Experiences
The UMKC School of Medicine Council on Selection reviews your health experiences to better understand your involvement with health-related activities and your investigation of the medical profession. Please provide a detailed description of your involvement with health-related activities including clubs and organizations; volunteer or work experience in a hospital, doctor’s office, nursing home, or other health-related facility; shadowing experience (includes shadowing of any health-care professional); participation in structured or formal health-related programs; medical or health-related research; and other health-related experiences that may contribute to your interest in medicine. For each activity, please provide the dates of participation and the estimated total hours you devoted to the activity. Please also provide a detailed description of the activity/organization and your specific involvement with the activity. Please do not list experiences in this section that you have already listed in the High School/College Activities section. Please type your responses in the space provided below. You are limited to 10 activities, so please select those activities that you feel best represent your commitment to healthcare. (For current college students, please list both high school and college activities.)
Name of activity (please do not use acronyms)
Type of activity:
School related
Work experience
Structured/Formal program
Other health experience
Volunteer experience
Shadowing
Research
Estimated total hours devoted to activity (if applicable):
Start Date:
End Date:
Description of activity/organization and your specific involvement with the activity/organization: (up to 500 characters)
Recommendation Provider
Please list the names and contact information for 3-6 people who will be submitting reference forms on your behalf. Reference forms should be submitted electronically by teachers, counselors, school administrators or others who can speak to your academic ability and personal character. Reference forms should not be submitted by family members or friends. Those providing the reference must submit a fully complete online School of Medicine reference form. Letters of recommendation will not be accepted in place of or in addition to the online School of Medicine reference form. Reference forms will not be accepted by email or mail, but must be submitted online.
To send the reference form to the recommendation providers listed below, please click “Send Email Request” next to each recommendation provider. Email Requests must be sent before submitting application.
Add Recommendation Provider
First Name:
Last Name:
Title:
University or Company:
Phone:
Email:
Confirm Email:
Relationship to you:
Certification and Submission
Thank you for your interest in The University of Missouri-Kansas City School of Medicine. If you are satisfied with your responses to our supplementary questions, we are ready to receive and review your entire application. Once you submit this application, you will be unable to make any further changes.
I certify that the information in this application and associated materials is current, complete and accurate to the best of your knowledge.