University of California Los Angeles

1. At the David Geffen School of Medicine at UCLA, students are provided with a curriculum and experiences that enable them to become "Outstanding Physicians, AND…," dedicating themselves to important societal missions. What missions do you want to embrace, and what have you done to pursue these missions?

1. At the David Geffen School of Medicine at UCLA, students are provided with a curriculum and experiences that enable them to become "Outstanding Physicians, AND…," dedicating themselves to important societal missions. What missions do you wish to embrace, and what actions have you taken toward these missions?

2. Where do you see yourself after completing your graduate education? What experiences have contributed to this goal?

3. Where do you see yourself after completing your graduate education? What experiences have shaped your aspirations toward this goal?

4. Where do you see yourself in ten years, and what experiences have contributed to this goal?

1. What is the most important honor you have received, and why do you consider it significant?

2. Describe your involvement in the ONE most important non-academic activity that has significantly impacted your life.

3. What is the one most important honor you have received, and why do you consider it significant?

1. "Has there been, or will there be, a gap between obtaining your last degree (baccalaureate or any degrees obtained after the baccalaureate) and the expected time of medical school matriculation? (yes or no). If yes, please explain."

1. Describe how the COVID-19 pandemic has impacted your journey to medical school. Include any academic, personal, financial, or professional barriers, as well as any other relevant information.

2. Did you experience or are you anticipating a gap between graduating from college and matriculating into medical school? If yes, please describe the activities in which you participated or plan to participate. Examples include additional schooling, employment, or caring for a loved one.

3. "Has there been, or will there be, a gap between obtaining your last degree (baccalaureate or any post-baccalaureate degrees) and the expected time of medical school matriculation? If yes, please explain in 300 characters or less."

4. "Are there any hardships that you would like the committee to consider specifically when evaluating your application?"

5. "Have you experienced or will you experience a gap between completing your last degree (bachelor's or any post-bachelor's degrees) and the expected time of medical school matriculation? (Please explain in 300 characters or less if your answer is yes.)"

6. Is there any hardship that you would like the committee to consider when evaluating your application? If so, please explain. Include any geographic, language, economic, academic, physical, or mental factors.

1. Describe your most important volunteer work and explain why it was meaningful to you.

2. Do you identify as part of a group that has been marginalized (for example, but not limited to, LGBTQIA individuals, people with disabilities, or members of federally recognized tribes) in terms of access to education or healthcare? If yes, please describe how this inequity has impacted you or your community, and how educational disparity, health disparity, and/or marginalization have affected you and your community.

3. Do you identify as part of a group that has been marginalized (for example, but not limited to, LGBTQIA individuals, people with disabilities, or members of federally recognized tribes) in terms of access to education or healthcare? If so, please describe how this inequity has impacted you or your community, and how educational disparity, health disparity, and/or marginalization have affected you and your community.

4. What has been the most important volunteer work you have done, and why was it meaningful?

5. What has been the single most important volunteer experience you have had, and why was it meaningful?

1. Describe your most scholarly project (thesis, research, or field of study in basic or clinical science or in the humanities). Please provide the total number of hours spent, the dates of the project, and the name of your advisor.

2. What has been your most significant scholarly project (thesis, research, or field of study in basic or clinical science or in the humanities)? Please describe one project and include the number of hours spent, the dates, and the name of your advisor.

1. Describe your most unique leadership, entrepreneurial, or creative activity.

2. What has been the most unique leadership, entrepreneurial, or creative activity in which you have participated?

3. What has been the one most unique leadership, entrepreneurial, or creative activity in which you have participated?