Wells College Pre-Health Professions
Student Information Sheet

If you have not filled in the following form and are a pre-health student at Wells College, please do so. We will maintain your information on a password-protected database and use it to help improve our advising. Only you and members of the Prehealth Committee are authorized to view or modify it. If you do not wish this information to be in electronic format, you may print and fill in this paper form and give it to any member of the committee. Please also bring it with you when you meet with any of us.

If something doesn't fit (e.g. a double major or second minor), put in the field "Other" at the bottom of the form.

Thank you, The Pre-Health Advisory Committee

Name:
Wells Student ID (xxxxxx):
Email:
Class Year (xxxx):
Home State:
Major
Minor
Academic Advisor
High School GPA
College GPA
Major Medical Interest

Health Career Goals:

Alternative Career Goals (other than health):

SAT Scores

MCAT/VCAT/DAT/GRE Scores. List all past scores and planned test dates.

Exam Prep Courses (taken or planned):

Internship/Employment/Activities

Other (anything else we should know about you, e.g. interviews attended/planned):
Password (you will need this to view or edit your information):

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