Minority Affairs - Prospective Students

University of Florida College of Medicine
Office of Minority Affairs
Health Care Summer Institute Past Graduate Survey

Year of Health Care Summer Institute(HCSI)Attendance

Gender

Male

Female

Ethnicity

African American

Native American/American Indian

Hispanic/Latino

Asian

Caucasion

If other, please specify

First

Last

Name used at HCSI if Different

Current Address

City

State

Zip

Phone

Cellular

College or Univeristy if Presently Attending

College Classification

Freshman
Sophomore
Junior
Senior
Professional School

Post-Bac Major

Occupation or Career you are Pursuing

Did the Health Care Summer Institute have an affect your career or profession decision?
Very Much
Somewhat
Not at all

If Graduated, Year of Graduation

Degree Received

Your Current Position or Status

Did you take the SAT? yes no
If yes, what was your score before the HCSI and after the HCSI?

Comments or Suggestions

I prefer the website and onlinesurvey submission method to the pencil and paper recruitment method.

True
False
No Preference

University of Florida College of Medicine
Office of Minority Affairs
Health Care Summer Institute Past Graduate Survey

Office of Minority Affairs

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University of Florida College of Medicine Office of Minority Affairs Health Care Summer Institute Past Graduate Survey

Prospective Students

Search

Other UF Resources

University of Florida College of Medicine
Office of Minority Affairs
Health Care Summer Institute Past Graduate Survey