Midwestern University College of Dental Medicine-Arizona

1. Have you worked with a DO (e.g., shadowing, scribing, medical assistant, etc.)? Yes No Have you observed OMM treatment? Yes No How did you become aware of Midwestern University/AZCOM? (0/1500) Why do you believe AZCOM would provide you with the type of osteopathic medical education you are seeking? (0/1500) Please upload a copy of your resume or curriculum vitae, which should include, but is not limited to, the following information:

2. Why do you believe that AZCOM would offer you the type of osteopathic medical education you are seeking?

3. Why should AZCOM accept you into this year's class?

1. Please list any relatives who are osteopathic physicians:

2. List your relatives who are Doctors of Osteopathy (DOs).

3. Have you applied or intend to apply for a HPSP military scholarship program?

4. Do you have any requirement for unfulfilled mandatory military service, with the United States or a foreign country? Midwestern University does not grant military deferrals. Applicants who are accepted into the dental program and then request a military deferral will have their offer withdrawn. Once military service is completed, a new application must be completed.

1. If you have any C-minus or lower grades and/or any course withdrawals on your transcript, please explain by course number.