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MAPS Membership Application

Florida State University
College of Medicine
MAPS Membership Application
*required fields
I. Personal Information
*Name:  
Address:
City:
State:
Zip:
Phone:
 
*Email:    
Age:
Date of Birth:
T-shirt Size:
Gender:
Ethnic Background:
Hobbies:
 
II. School Information
Year in school:
Major:
Cumulative GPA:
Career Interest(s):
When do you plan to graduate?
When do you anticipate entering professional school?
What science courses have you taken?
Volunteer Experience(s):
What can you contribute to MAPS?
How did you hear about MAPS?
Do you meet all the criteria for becoming a MAPS member (GPA, etc)?
What health professions are you interested in?
Do you plan to apply/attend The FSU College of Medicine?
I am interested in membership into the Multicultural Association of Pre-Health Students. I understand that the purpose of MAPS is to provide supportive programs that address the academic needs of underrepresented students as well as increase the healthcare needs in communities. Its purpose is also to assist students in enrolling in and successfully completing their studies in undergraduate pre-med and other pre-health programs. I agree to accept full responsibility of membership, including attending meetings and participating in all events. I realize that this type of organization requires good conduct, professional attire and a positive attitude. I am also aware that I am required to adhere to the Florida State University code of conduct, including complying with the alcohol and hazing policies. I agree to comply with these expectations and pledge my efforts to respect the rules and policies of this organization. I give full permission to post my photographs taken at any MAPS events on the MAPS website.
 
 
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