TUSPM Winter and Summer Internship Program Application Please fill-in the fields and mail or fax a printed copy of this application along with the other required materials. Address: Winter (or Summer) Internship Program Temple University School of Podiatric Medicine Office of Student Affairs 8th at Race Streets Philadelphia, PA 19107 Fax: 215-629-4907 * Submission of MCAT, GRE, or DAT scores is optional. Please provide the following information (please print legibly if not typing in fields): Session Winter Program Summer Program First name Last name Current Address Second line City State/Province Zip/Postal Code Country Current daytime phone number E-mail address Permanent Address(if different from Current) Second line City State/Province Zip/Postal Code Country Permanent daytime phone number Gender M F Colleges/Universities attended: list in chronological order (beginning with most recent) allcolleges, universities and professional schools attended/attending. College/University City/State FromMo./Yr. ToMo./Yr. Major Degree DegreeDate Total CreditHours Undergraduate G.P.A. (4.0 scale): Please list two digits to right of decimal (i.e., 3.65)Overall: Science: Enter N/A below if no Graduate level course work has been completed: Post Baccalaureate G.P.A. Graduate School G.P.A. Professional School G.P.A. The following items must accompany this application. Please include ALL items in the same envelope and limit your responses to one typed page per item. college transcript or grade report resume essay indicating why you are interested in a health care career a recommendation from a college faculty member indicating your interest and aptitude for science and medicine, in a sealed and signed envelope. a letter describing your activities and/or work experience that demonstrates your interest and aptitude for working with people (i.e. health care setting, community service, volunteer work, etc.) *A $100 deposit is required if you are accepted into the program. This deposit will be fully refunded upon completion of the program. © Copyright 2008 Temple University. All Rights Reserved.
Fax: 215-629-4907
Please provide the following information (please print legibly if not typing in fields):
Session Winter Program Summer Program First name Last name Current Address Second line City State/Province Zip/Postal Code Country Current daytime phone number E-mail address Permanent Address(if different from Current) Second line City State/Province Zip/Postal Code Country Permanent daytime phone number Gender M F Colleges/Universities attended: list in chronological order (beginning with most recent) allcolleges, universities and professional schools attended/attending. College/University City/State FromMo./Yr. ToMo./Yr. Major Degree DegreeDate Total CreditHours Undergraduate G.P.A. (4.0 scale): Please list two digits to right of decimal (i.e., 3.65)Overall: Science: Enter N/A below if no Graduate level course work has been completed: Post Baccalaureate G.P.A. Graduate School G.P.A. Professional School G.P.A. The following items must accompany this application. Please include ALL items in the same envelope and limit your responses to one typed page per item. college transcript or grade report resume essay indicating why you are interested in a health care career a recommendation from a college faculty member indicating your interest and aptitude for science and medicine, in a sealed and signed envelope. a letter describing your activities and/or work experience that demonstrates your interest and aptitude for working with people (i.e. health care setting, community service, volunteer work, etc.) *A $100 deposit is required if you are accepted into the program. This deposit will be fully refunded upon completion of the program. © Copyright 2008 Temple University. All Rights Reserved.
Enter N/A below if no Graduate level course work has been completed: Post Baccalaureate G.P.A. Graduate School G.P.A. Professional School G.P.A.
The following items must accompany this application. Please include ALL items in the same envelope and limit your responses to one typed page per item.
*A $100 deposit is required if you are accepted into the program. This deposit will be fully refunded upon completion of the program.