Princeton Review MCAT/DAT/GRE/NCLEX-RN Self-Paced Course Application

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Please complete this form to be considered for an offer to partner with AHEC to receive a one-year MCAT Self-Paced Course, DAT Ultimate Live Online Course, GRE Self-Paced Course, or NCLEX-RN Prep from Princeton Review. These self-paced courses are discounted through the partnership of PA AHEC and The Princeton Review.

Contact Leslie Petroff at lpetroff@nepa-ahec.org if you feel you may qualify for a scholarship for disadvantaged students or if you have any other questions or concerns.

Name *

Email *

Cell phone number *

Address *

County you live in. *

Gender *

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Ethnicity *

Hispanic/Latinx

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Race *

American Indian or Alaskan Native

Asian

Black or African American

White or Caucasian

More than one race

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Which prep course are you interested in taking? *

MCAT Self-Paced Course - AHEC price $1,000 ($1699 value)

DAT Ultimate LiveOnline Course - AHEC price $1,100 ($1999 value)

GRE Self-Paced Course - AHEC price $300 ($499 value)

NCLEX-RN QBank - AHEC price $115 ($299 value)

Required

Current University Name *

Year in University *

Freshman

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Senior

How did you hear about this program? *

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Other:

What Medical/Dental/Graduate school are you interested in attending and why? *

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Please contact us at lpetroff@nepa-ahec.org

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