School of Medicine College Pipeline Program (SOM-CPP) Application

The SOM-CPP at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, application process and student information application forms are now open. The deadline for the SOM-CPP application is April 1, 2024. Priority consideration for admission to the SOM-CPP will be granted to students who submit a completed application by March 1, 2024. There is no application fee for this program. Admitted students will receive a $1,000.00 annual stipend. The SOM-CPP will commence on Monday, July 1, 2024 and end on Friday, August 9, 2024.

For questions, please contact Mrs. Gina Granger - Gina.G.Granger@Hofstra.edu

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Personal Information
First Name *
Middle Name
Last Name *
DOB *
Use format MM/DD/YYYY
Permanent Email Address *
Confirm Permanent Email Address *
Are you a US citizen? *
Gender
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Permanent  Address
Street, Apt#, City, State, Zip Code
Best Telephone Number to Reach You *
please include area code
Parent/Guardian Information
Parent/Guardian #1 Full Name *
First and Last Name
Parent/Guardian #1 Address *
Street, Apt#, City, State, Zip Code
Parent/Guardian #1 Telephone Number *
Parent/Guardian #1 Email Address *
High School Information
SAT Date
MM
/
DD
/
YYYY
SAT Score
ACT Date
ACT Score
Undergraduate Information
The Name of your College/University *
Your Current College Status *
Cumulative GPA *
Grade received in Calculus I
Grade received in General Chemistry
Grade received in General Biology
Grade received in Physics
Were you ranked in the top 10% of your high school graduating class?
Clear selection
Are you willing to commit to participate in this the three-year SOM CPP Program? *
Are you willing to maintain an excellent attendance record? *
Academic Major and Minor *
Intended Graduate Degree *
Emergency Contact Information
Name - I
First & Last Name
Relationship to you
Parent, Sibling, Friend, Relative, Neighbor etc...
Telephone #
Please explain your reason for applying to the SOM-CPP (250 - word maximum). *
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