University of Mississippi Medical Center School of Dentistry

1. Indicate if you have ever participated in any Health Career Development or Outreach programs at UMMC. Please include the name of the program and dates of participation.

2. Based on your experiences and any exposure to dentistry, what do you understand to be some of the most challenging aspects of the profession, and how have your experiences prepared you for dental school?

1. Did someone other than your parents play a significant role in your life? If so, describe that relationship below.

2. If there are any gaps, academic challenges, or changes in your educational or professional path, please describe the circumstances and how you addressed them.

1. Please state the number of years you have lived in Mississippi (numerical values only).

2. Are you currently a legal resident of Mississippi? Chronologically account for each year or period of time in your life (combining years when possible). Please list years, place you lived, and principal activity (school or employment).

1. List the courses you plan to complete prior to enrolling at UMMC. Please include the year and semester/term, course number and name, and institution where the courses are being taken. Please enter "Not enrolled" if you will not be completing any additional coursework.

2. Provide a list of all science courses that were taken online. If none, type "not applicable."