University of Missouri-Kansas City School of Medicine

1. Have you had any prior interactions with the UMKC School of Medicine? - Attended a virtual or on-campus visit - Spoke with a staff or faculty member - Shadowed or volunteered at a clinical site - Attended a camp or conference at UMKC - Other

1. We educate physicians/healthcare providers to care for individuals with diverse identities and backgrounds. Describe any interests, abilities, and/or experiences that prepare you to contribute to that learning environment.

2. Please describe how COVID-19 has impacted your pathway to becoming a Physician.

1. Did either of your parents or guardians attend the UMKC School of Medicine? Yes or No?

2. Did you participate in UMKC's Summer Scholars Program? Yes or No?

3. Did you participate in UMKC's Saturday Academy Program? Yes or No?

4. Are you reapplying to the UMKC School of Medicine? Yes/No

1. Please describe how COVID-19 has impacted your journey to becoming a physician. The questions below will help you get started, but feel free to expand beyond these considerations: (2500-word limit)

2. Professional: Did you hold a job? Did you actively seek new job opportunities? Did you lose a job? Were there any other financial or professional barriers you faced?

3. Personal: Did you have to move out of a house or dorm? Did you have to cancel any travel plans? Did you modify your planned experiences related to healthcare or volunteer opportunities? Did you seek out volunteer opportunities that emerged from the crisis?

1. If you are interested in rural healthcare, please describe your interest in this aspect of healthcare.

2. If you are not a resident of Missouri, do you have any ties to the state or the metropolitan area? Yes/No

3. Are you from a rural community? Yes or No?

4. If you are interested in rural healthcare or in practicing a specialty that addresses the needs of underserved rural communities, please describe your interest in this aspect of healthcare. (No limit)

1. We educate physicians and healthcare providers to care for individuals with diverse identities, backgrounds, experiences, and perspectives. Please describe any interests, abilities, and/or experiences that prepare you to participate in and contribute to this learning environment. (1000-word limit)

1. Academic: Did your school transition to an online-only curriculum? Were you able to interact with your professors? Did you have to leave an academic program in the U.S. or abroad? Did your school require you to switch to a Pass/Fail grading system? Was your original MCAT exam canceled or delayed? Were there any other academic barriers?