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).