Medical Careers Showcase

Personal Information

Student Type

New First Time Freshman

New First Time Transfer

First Name

Preferred Name

Last Name

Birthdate

Email Address

Cell Phone Number

I would like to receive text messages at the cell number above throughout the admission process, deadlines, and next steps.

(Standard text message rates may apply; signing up for text messages is not required either to apply for or to gain admission to USI.)

Mailing Address

Country

Street

City

Region

Postal Code

Do you want a parent or guardian to receive communication about your USI visit?

Yes

No

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Relationship

Parent/Guardian Email Address

Academic Interest

Primary Academic Interest

Secondary Academic Interest

Entry Month

Entry Term

Academic History

Most Recent High School Attended

High School Graduation Date

Most Recent College Attended

Visit Information

Number of guests (not including student)

T-Shirt Size Preference