CUNY Med Admissions Application

160 Convent Avenue, Harris Hall Suite 01, New York, NY 10031

Welcome!

The Sophie Davis/CUNY School of Medicine application deadline is December 30, 2023 at 11:59:59 PM EST.
The City University of New York does not discriminate on the basis of age, gender, sexual orientation, race, creed, national or ethnic origin, physical or mental disability, marital status, and veterans status.
You may save your work and continue at another time. After submitting your application, you will receive an email confirmation of your submission and an attached copy of your application.
Please review all application instructions first, then type your information into each open field or select the answer from the lists provided, and attach any required documents by using the upload link provided in the application.

There are 9 sections for you to complete:

Section A: Personal Background
Section B: Academic Background
Section C: Volunteer and Employment Experience
Section D: Family Background
Section E: Additional Information
Section F: Letters of Recommendation
Section G: Student Essays
Section H: Submitting Your Application
Section I: Certifications and Signature

NOTE: You may SAVE AND RETURN to your work at any time. To do so, scroll to the very bottom of this page, and click on the button "Save & Return Later". The system will prompt you to enter your email address. YOU MUST ENTER YOUR EMAIL ADDRESS TO GET BACK TO YOUR PERSONAL APPLICATION FORM. It will then send you a link that you can use to return to the application at any time. PLEASE DO NOT START A NEW APPLICATION. IF YOU LOSE ACCESS TO YOUR ORIGINAL APPLICATION, PLEASE SEND AN EMAIL TO sdadmissions@med.cuny.edu.

Make sure you have filled in all REQUIRED fields which are marked (*must provide value), or your application will not be complete. If you click on the Submit button at the very end and the system gives you a list of incomplete fields, you must go back and complete them before your application will be eligible for review.

ATTENTION:

PLEASE DO NOT START A NEW APPLICATION. IF YOU LOSE ACCESS TO YOUR ORIGINAL APPLICATION, SEND AN EMAIL TO sdadmissions@med.cuny.edu. AND A LINK WILL BE SENT TO YOU TO CONTINUE THE PROCESS.

1a. FULL LEGAL NAME (*must provide value)
*LAST	*FIRST	MIDDLE
,

Upload file

4. CURRENT HOME ADDRESS (*must provide value for ALL fields, except if there is no apt. number)
Street Address:*
Apt. Number:
City:*
State/Province:*
Zip/Postcode:*

Yes No

reset

5a. PERMANENT MAILING ADDRESS (*must provide value for ALL fields, except if there is no apt. number)
Street Address:*
Apt. Number:
City:*
State/Province:*
Zip/Postcode:*

PHONE NUMBERS (*must provide value)
7. Primary Contact Number:*
8. Alternative Contact Number:

STUDENT EMAIL ADDRESS (*must provide value)
8a. Student email address:*
8b. Confirm your email address:*

Y-M-D

Female Male Non-binary Transgender Gender not listed

reset

United States U.S. Province Other

reset

American Samoa Guam Mariana Islands Puerto Rico U.S. Virgin Islands Other

reset

Y-M-D

Yes No

reset

15. ETHNICITY/RACE

ETHNICITY/RACE WILL NOT BE CONSIDERED IN THE APPLICATION PROCESS. This information is being collected to meet research and federal reporting requirements. It is confidential and will not be released except in the form of statistical summaries in which individuals are not identified.

NOTE: Please answer BOTH the ethnicity and race questions, and any sub-questions that may open depending upon your selections. This information has no effect on admissions decisions.

Yes

reset

Chicano/Chicana, Mexican, Mexican American

Colombian

Cuban

Dominican

Ecuadorian

Peruvian

Puerto Rican

Mixed Ethnicity

Other

reset

Chicano/Chicana, Mexican, Mexican American

Colombian

Cuban

Dominican

Ecuadorian

Peruvian

Puerto Rican

Other

Alaska Native or Native American

Asian

Black

Native Hawaiian or Other Pacific Islander

White (includes Middle Eastern)

Mixed race

Other

reset

Asian Indian

Bengali

Chinese

Filipino

Japanese

Korean

Pakistani

Vietnamese

Other Asian

Generationally African American (parent(s) and grandparent(s) born in US)

African American 1st or 2nd generation

African

Caribbean

Other

Guamanian or Chamorro

Native Hawaiian

Samoan

Other Pacific Islander

reset

Egyptian German Greek Iranian Irish Italian Polish Russian Other

reset

Alaska Native or Native American

Asian

Black

Caribbean

Native Hawaiian or Other Pacific Islander

White (includes Middle Eastern)

Other

Asian Indian

Bengali

Chinese

Filipino

Japanese

Korean

Pakistani

Vietnamese

Other Asian

Generationally African American (parent(s) and grandparent(s) born in US)

African American 1st or 2nd generation

African

Caribbean

Other

Guamanian or Chamorro

Native Hawaiian

Samoan

Other Pacific Islander

Egyptian German Greek Iranian Irish Italian Polish Russian Other

M-D-Y

1 2 3

reset

LIST ALL HIGH SCHOOLS OR COLLEGES AND TYPE OF SCHOOLS ATTENDED (If more than one, list most recent first). For dates, use MM/YYYY format.

1. High School/College Name:
School Location (Street, City, State):
Zip Code:
Date Attended From:
Date Attended To:
Type of School:

2. High School/College Name:
School Location (Street, City, State):
Zip Code:
Date Attended From:
Date Attended To:
Type of School:

3. High School/College Name:
School Location (Street, City, State):
Zip Code:
Date Attended From:
Date Attended To:
Type of School:

Expand

Yes No

reset

7. EXTRACURRICULAR ACTIVITIES
List your most significant activities, including your title (such as position held) and the length of time you participated in the activity (from start to finish). For dates, use MM/YYYY format.

Activity #1
Name of Activity:
Title/Role in Activity:
Date From:
Date To:

Activity #2
Name of Activity:
Title/Role in Activity:
Date From:
Date To:

Activity #3
Name of Activity:
Title/Role in Activity:
Date From:
Date To:

Activity #4
Name of Activity:
Title/Role in Activity:
Date From:
Date To:

Activity #5
Name of Activity:
Title/Role in Activity:
Date From:
Date To:

1. COMMUNITY/HEALTH RELATED EXPERIENCES
List any volunteer experience (community outreach organizations, block associations, tutoring programs, religious organizations, healthcare institutions, etc.). For dates, use MM/YYYY format.

Organization Name 1:
Supervisor's name & title:
Your role/activity:
Volunteer dates from:
Volunteer dates to:
# hours per week/specify summer or school year:

Organization Name 2:
Supervisor's name & title:
Your role/activity:
Volunteer dates from:
Volunteer dates to:
# hours per week/specify summer or school year:

Organization Name 3:
Supervisor's name & title:
Your role/activity:
Volunteer dates from:
Volunteer dates to:
# hours per week/specify summer or school year:

Organization Name 4:
Supervisor's name & title:
Your role/activity:
Volunteer dates from:
Volunteer dates to:
# hours per week/specify summer or school year:

Organization Name 5:
Supervisor's name & title:
Your role/activity:
Volunteer dates from:
Volunteer dates to:
# hours per week/specify summer or school year:

2. EMPLOYMENT EXPERIENCE
List employment (most recent first) for the last three years. For dates, use MM/YYYY format.

Employer 1:
Supervisor's name & title:
Your job/activity:
Employment dates from:
Employment dates to:
# hours per week/specify summer or school year:

Employer 2:
Supervisor's name & title:
Your job/activity:
Employment dates from:
Employment dates to:
# hours per week/specify summer or school year:

Employer 3:
Supervisor's name & title:
Your job/activity:
Employment dates from:
Employment dates to:
# hours per week/specify summer or school year:

Employer 4:
Supervisor's name & title:
Your job/activity:
Employment dates from:
Employment dates to:
# hours per week/specify summer or school year:

PARENT/GUARDIAN INFORMATION (*must provide value)

(If you do not know the information requested, for example occupation or employer, type "unknown" in the text box. If the question does not apply to this parent/guardian, please enter NA for "not applicable".)

1. PARENT/GUARDIAN #1*

a. Parent living or deceased?

b. Parent and applicant have same residence?

c. Parent Name:

d. Parent Occupation:

e. Parent Employer:

f. Parent Country of Origin:

g. Parent Highest Education Level:

A.A., Associate of Arts A.S., Associate of Science A.A.S., Associate of Applied Science A.G.S., Associate of General Studies Other

reset

B.A., Bachelor of Arts B.S., Bachelor of Science B. F.A., Bachelor of Fine Arts Other

reset

M.A., Master of Arts M.S., Master of Science MBA, Master of Business MEd, Master of Education MPH, Master of Public Health Other

reset

D.D.S., Doctor of Dental Surgery Ed.D., Doctor of Education J.D., Juris Doctorate M.D., Medical Doctor Ph.D., Doctor of Philosophy Pharm.D., Doctor of Pharmacy Other

reset

PARENT/GUARDIAN INFORMATION (*must provide value)

2. PARENT/GUARDIAN #2*

a. Parent living or deceased?

b. Parent and applicant have same residence?

c. Parent Name:

d. Parent Occupation:

e. Parent Employer:

f. Parent Country of Origin:

g. Parent Highest Education Level:

A.A., Associate of Arts A.S., Associate of Science A.A.S., Associate of Applied Science A.G.S., Associate of General Studies Other

reset

B.A., Bachelor of Arts B.S., Bachelor of Science B. F.A., Bachelor of Fine Arts Other

reset

M.A., Master of Arts M.S., Master of Science MBA, Master of Business MEd, Master of Education MPH, Master of Public Health Other

reset

D.D.S., Doctor of Dental Surgery Ed.D., Doctor of Education J.D., Juris Doctorate M.D., Medical Doctor Ph.D., Doctor of Philosophy Pharm.D., Doctor of Pharmacy Other

reset

Yes No

reset

STEP-PARENT INFORMATION (*must provide value)

(If you do not know the information requested, for example occupation or employer, type "unknown" in the text box. If the question does not apply to this step-parent, please enter NA for "not applicable".)

3. STEP-PARENT #1*

a. Step-Parent living or deceased?

b. Step- Parent and applicant have same residence?

c. Step-Parent Name:

d. Step-Parent Occupation:

e. Step-Parent Employer:

f. Step-Parent Country of Origin:

g. Step-Parent Highest Education Level:

A.A., Associate of Arts A.S., Associate of Science A.A.S., Associate of Applied Science A.G.S., Associate of General Studies Other

reset

B.A., Bachelor of Arts B.S., Bachelor of Science B. F.A., Bachelor of Fine Arts Other

reset

M.A., Master of Arts M.S., Master of Science MBA, Master of Business MEd, Master of Education MPH, Master of Public Health Other

reset

D.D.S., Doctor of Dental Surgery Ed.D., Doctor of Education J.D., Juris Doctorate M.D., Medical Doctor Ph.D., Doctor of Philosophy Pharm.D., Doctor of Pharmacy Other

reset

STEP-PARENT INFORMATION (*must provide value)

4. STEP-PARENT #2*

a. Step-Parent living or deceased?

b. Step-Parent and applicant have same residence?

c. Step-Parent Name:

d. Step-Parent Occupation:

e. Step-Parent Employer:

f. Step-Parent Country of Origin:

g. Step-Parent Highest Education Level:

A.A., Associate of Arts A.S., Associate of Science A.A.S., Associate of Applied Science A.G.S., Associate of General Studies Other

reset

B.A., Bachelor of Arts B.S., Bachelor of Science B. F.A., Bachelor of Fine Arts Other

reset

M.A., Master of Arts M.S., Master of Science MBA, Master of Business MEd, Master of Education MPH, Master of Public Health Other

reset

D.D.S., Doctor of Dental Surgery Ed.D., Doctor of Education J.D., Juris Doctorate M.D., Medical Doctor Ph.D., Doctor of Philosophy Pharm.D., Doctor of Pharmacy Other

reset

Expand

Yes No

Yes No

Yes No

Yes No

Yes No

A Better Chance

CCNY STEM

Venture Scholar

Gateway

Gear Up

Sophie Davis Health Professions Mentorship Program

Pipeline

HPREP

Other

LIST BELOW THE NAMES OF FIVE PEOPLE WHO CAN WRITE KNOWLEDGEABLY ABOUT YOU

Five letters of recommendation are required. Three must come from specific sources.
One letter must come from a teacher in a laboratory science course in your high school, one letter must come from a college advisor or school counselor, one letter must come from someone outside of your high school (from a volunteer, work, community, health or extracurricular-related experience). The two additional letters can come from unrelated individuals of your choice.
Be sure that your full name is included in each recommendation and that all are written on the recommender's official stationery and prepared as a PDF document.
Letters of recommendation should be sent electronically as a PDF to the Sophie Davis Biomedical Education Program/CUNY Med Office of Admissions by the deadline of December 30, 2023 at 11:59:59 PM EST. Letters of recommendation sent in after the deadline will not be considered.

It is your obligation to request that references be sent by December 30, 2023 at 11:59:59 PM EST to sdcsom@med.cuny.edu.

LETTER OF RECOMMENDATION WRITERS (If a teacher is your letter writer, in the 3rd column, list the subject they taught you; if the letter writer is from an outside organization, list the activity that you engaged in for that experience.)
NAME (ex. Jane Doe),	EMAIL ADDRESS,	SUBJECT OR ACTIVITY,	SCHOOL OR ORGANIZATION

,	,	,	.
,	,	,	.
,	,	,	.
,	,	,	.
,	,	,	.

Yes, I waive access to all letters of recommendation.

No, I do not waive access to all letters of recommendation.

reset

______, in a separate document, please write a response to each of the three essay topics listed below. Limit yourself to no more than three double-spaced pages per essay. Each essay page must be double spaced. Use TIMES NEW ROMAN and 12-point font. Title each essay (either "Meaningful Essay"; "Mission Essay" or "Influence Essay") and type your name below each title. Combine the three essays into one document and also include a passport style/size photo WITHIN one of your essays. Or, if you prefer, you can put your photo on a separate page. Please review the instructions below on uploading.

1. MEANINGFUL ESSAY: Referring to Section B or C of this application, choose one of your extracurricular activities, employment, or community experiences and describe why it has been especially meaningful to you.
2. MISSION ESSAY: The Sophie Davis Biomedical Education Program/CUNY School of Medicine is committed to equity, inclusion, and social justice and values racial, ethnic, socioeconomic and overall cultural diversity as key components to training future physicians. As you reflect on your volunteer work, community service, employment or other activities, how have you become an agent of social change? And in doing so, how have you taken initiative to learn about and experience cultures different from your own?
3. INFLUENCE ESSAY: To aid the Admissions Committee in learning more about you, please share your influences and interest for pursuing a career in medicine.

PREPARING YOUR ESSAYS AND PHOTO FOR UPLOADING:

1. Combine your three essays and photo into one document. (It should be no more than 10 pages-if each essay is at its maximum of three pages long and your photo is on a separate page, the total number of pages you submit should be no more than 10).

2. Create a PDF of your combined Word document. Name your PDF file as follows: your last name, your first name followed by the word ESSAYS, so ...it should look like this: "______, ______ ESSAYS." IF YOU DON'T NAME THE FILE CORRECTLY, WE WON'T BE ABLE TO MATCH IT TO YOUR APPLICATION.

3. YOU MUST CONVERT YOUR PDF DOCUMENT INTO A ZIPPED FOLDER.

4. When you have finished preparing the zipped PDF, upload the document using the green "Upload file" link below.

* must provide value

Upload file

Important! Please read carefully!

Check the Sophie Davis Biomedical Education Program/CUNY School of Medicine website (https://cunymed.org) for complete details on admission criteria and application instructions. The instruction letters are under the Admissions tab on the homepage. Students accepted Early Decision by colleges and universities are not eligible to apply to the Sophie Davis Biomedical Education Program/CUNY Med.

[first_name], PLEASE MAKE SURE THAT YOU:

Check to make sure you have completed this application in full, being sure you filled out all required fields. Review your completed application with your high school counselor before you click "SUBMIT'.
Ask your school counselor to send your high school transcript to sdcsom@med.cuny.edu.
Request that your letters of recommendation be sent as soon as possible but no later than December 30, 2023 at 11:59:59 PM EST to the email address above. All references and documents must be timestamped by no later than December 30, 2023 at 11:59:59 PM EST.
Complete either the general CUNY application OR the CUNY Macaulay Honors College application.
Review your application, all the instructions and be sure you have uploaded your combined essays and your photo, before you click the 'SUBMIT' button. The application deadline is by December 30, 2023 at 11:59:59 PM EST.

Please Note: On the general CUNY application, among your college choices, it is recommended that The City College be one of your choices. The specific City College curriculum selection must be Biomedical Sciences. The general CUNY application should be submitted by December 30, 2023 at 11:59:59 PM EST.

BEFORE YOU SUBMIT THIS APPLICATION FORM, COMPLETE ALL SECTIONS IN THE AUTOMATED APPLICATION, AND REVIEW THE APPLICATION CAREFULLY. NOTE THAT AFTER SUBMITTING YOUR APPLICATION, YOU WILL NO LONGER BE ABLE TO REVISE IT.

If you have any questions, you may call the Office of Admissions at 212-650-7718 or email us at sdadmissions@med.cuny.edu.

CERTIFICATIONS
Please read the three statements below and click on the round bullet next to the word Agree to the right of the statement, indicating your understanding and acceptance of these requirements.

I certify the above information is true to the best of my knowledge. I understand that completing and submitting this application is only part of my applying to the Sophie Davis Biomedical Education Program/CUNY School of Medicine.
This certifies that I have read and am aware of the Sophie Davis Biomedical Education Program/CUNY School of Medicine Technical Standards.
I further acknowledge that I must also complete either a CUNY application or a Macaulay Honors College application.

If you have completed your application and are ready to submit, please e-sign below and click on the submit button.

Add signature

You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.

The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.