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Honors Program in Medical Education (HPME)

Birthdate
Mailing Address




If you are a U.S. citizen and wish to be identified with a particular ethnic group, please check all that apply:
Please enter your high school information, using the format below:
High School Name, City, State, Graduation Date (m/yr)
Please enter your high school GPA information, using the format below:
GPA*, Highest possible GPA, Rank in class - include class size
*If high school weights the GPA, you must provide your weighted GPA.
(If your high school does not provide a GPA, please e-mail an unofficial copy of your high school transcript to lmt@northwestern.edu or fax to HPME at 847-467-1317.)
COURSES TAKEN IN HIGH SCHOOL - INCLUDING SENIOR YEAR
Please provide the number of years taken and the level of study.
(R=regular; H=honors; AP=Advanced Placement; IB=International baccalaureate; COL=college)
Follow this example: 5 yrs; 1R; 2H; 2AP
Please provide your test score results, using the formats below:
(It is not necessary to have taken BOTH the SAT and ACT.)
REQUIRED SAT SUBJECT TESTS
(May take test as late as December - please note the upcoming date in the field.)
OTHER TESTS TAKEN - Please enter in the format below:
(Name, Score, Date (m/yr); Name, Score, Date (m/yr); Name, Score, Date (m/yr); etc.)
Please provide any additional information below.
If you have any questions please contact Lois Tabor at lmt@northwestern.edu.