CUNY SCHOOL OF MEDICINE (CSOM)
Sophie Davis Biomedical Education Program
https://www.ccny.cuny.edu/csom/sophie-davis-biomedical-education-program-admission
 Section A   Section E 
 Section B   Section F 
 Section C   Section G 
 Section D   Section H 
App Home

 CUNY School of Medicine BS/MD Program   160 Convent Avenue   Harris Hall Room 101   New York, New York 10031

THE CITY COLLEGE OF NEW YORK (CCNY)
  • Welcome! The last date of submission is December 30, 2020.
  • The City University of New York does not discriminate on the basis of age, gender, sexual orientation, race, creed, national or ethnic origin, physical or mental disability, marital status, and veterans status.
  • After saving the application, you will receive an email with a link to continue your application.
  • Please type your information into each field on this automated application form, review all application instructions and attach any required documents. We recommend that you use the SAVE buttons on the application to save your data while you are working on your application. Print a copy of this application before you click 'SUBMIT APPLICATION'.
  • Applicants should complete a VIP profile. The creation of the profile will keep applicants informed of events and additional information.

Section A: PERSONAL BACKGROUND (*indicates required field)
  
  1. FULL LEGAL NAME (Last, First, Middle)
  Last Name:* First Name:* Middle Name:
       
  2. Student Social Security Number*
 
  3. Current Home Address
  Street Address:* Apartment Number:
 
  City:* State/Province:* Zip/Postal:*
 
  4. Permanent Mailing Address (only if different than above)
  Street Address:* Apartment Number:
 
  City:* State/Province:* Zip/Postal:*
 
  5. BOROUGH
  Home Borough or County/Township:
 
  Home Borough/Township/County Neighborhood (e.g. Brooklyn/Park Slope or Queens/Forest Hills):
 
  6. PRIMARY CONTACT PHONE 7. ALTERNATE CONTACT PHONE 8. STUDENT EMAIL ADDRESS*
 
  CONFIRM EMAIL ADDRESS
 
  9. DATE OF BIRTH* 10. GENDER* 11. a. Place Of Birth*
- -
  b. Other:* 
(If 'Other' please fill in below)
 
  12. CITIZENSHIP* 13. U.S.A. PERMANENT REGISTRATION NO. 14. IF BORN OUTSIDE OF THE U.S.A.
 
(If Applicable)
When did you emigrate? (MM-DD-YYYY): - -
  15.ETHNICITY/RACE Please fill in BOTH ethnicity and race fields. Check all that apply below.
Ethnicity Race
Hispanic/LatinX American Indian or Alaska Native
Yes (please specify origin)
    Tribe Or Enrollment
Cuban
   
Dominican
Asian
Mexican, Mexican American, Chicano/Chicana
Asian Indian
Puerto Rican
Bengali
Other (please specify)
Chinese
    Filipino
No
Japanese

NOTE: This information is being collected to meet research and federal reporting requirements. It is confidential and will not be released except in the form of statistical summaries in which individuals are not identified. This information has no effect on admissions decisions.
Korean
Pakistani
Vietnamese
Other Asian (please specify)
   
Black
African American
African Other (please specify)
   
Caribbean (please specify)
   
Caribbean (please specify)
   
Native Hawaiian or Other Pacific Islander
Guamanian or Chamorro
Native Hawaiian
Samoan
Other Pacific Islander (please specify)
   
White (includes Middle Eastern)
Other White (please specify)
   
  
Section B: ACADEMIC BACKGROUND (*indicates required field)
  
  1.EXPECTED DATE OF HIGH SCHOOL GRADUATION* 2.TOTAL NUMBER OF COLLEGE CREDITS EARNED (IF ANY)  CR.
        LIST A.P., I.B. OR COLLEGE COURSES IN PROGRESS
 
  
  3. LIST ALL HIGH SCHOOLS OR COLLEGES AND TYPE OF SCHOOLS** ATTENDED[List most recent first]*
**(public, private, parochial, home school)
 
  High School/College Name School Location:
Street Address, City, State
Zip Dates Attended
[From]

[To]
Type of School**
1.            
Please provide the Borough/County of the high school you attend/graduated from:
 
 
2.            
3.            
  
  4.LIST YOUR SPECIAL TALENTS, HOBBIES OR INTERESTS
   
 
  5.LIST ANY SPECIAL AWARDS/TROPHIES YOU HAVE RECEIVED IN YOUR SCHOOL OR COMMUNITY
   
 
  6.EXTRACURRICULAR ACTIVITIES
List your most significant activities, including your title (such as position held) and the length of time you participated.
 
Name of Activity Role in Activity Dates Participated
[From]
Dates Participated
[To]
1.        
2.        
3.        
4.        
5.        
  
Section C: VOLUNTEER AND WORK EXPERIENCE
 
 1.COMMUNITY/HEALTH RELATED EXPERIENCES
List any volunteer experience (health care institutions, tutoring programs, community outreach organization, block associations, political campaigns, religious organizations, etc.).
   
  Organization Supervisor's Name and Title Employment
Dates [From]
Employment
Dates [To]
Hours per Week,
Summer/School Year
1.          
2.          
3.          
4.          
 
  2. EMPLOYMENT EXPERIENCE
List employment (most recent first) for the last three years.
   
  Employer Supervisor's Name and Title Employment
Dates [From]
Employment
Dates [To]
Hours per Week,
Summer/School Year
1.          
2.          
3.          
 
Section D: STUDENT ESSAYS (*indicates required field)
 
  On a separate sheet, please respond to each of the three short essay topics. Limit yourself to no more than three double-spaced pages per essay. All essays must be submitted in Adobe PDF format. Please also include a passport style/size photo within your uploaded essay*.
 
    1. Referring to Section B or C of this application, choose one of your extracurricular activities, employment or community experiences and describe why it has been especially meaningful to you.
 
   2. The Sophie Davis Biomedical Education Program/CUNY School of Medicine is committed to equity, inclusion and social justice and values racial, ethnic, socioeconomic and overall cultural diversity as key components to training future physicians. As you reflect on your volunteer work, community service, employment or other activities, how have you become an agent of social change? And in doing so, how have you taken initiative to learn about and experience cultures different from your own?
 
   3. To aid the Admissions Committee in learning more about you, please share your current influences and interest for pursuing a career in medicine.
 
 

Meaningful*


Mission*


Influence*

 
  The submission indicator above will change to green when a particular essay is attached to the application. Please verify that all three essays are attached before you 'SUBMIT' this application. All essays and your photo must be submitted in an Adobe PDF** file.
 
  **How to save a document in PDF format
 
Section E: FAMILY BACKGROUND (*indicates required field)
 
  1. PARENT/GUARDIAN 1 INFORMATION* 2. PARENT/GUARDIAN 2 INFORMATION*
  a. Parent/Guardian 1:
a. Parent/Guardian 2:
  Living  Deceased Living  Deceased
  b. Parent/Guardian 1 and Applicant Have Same Residence:
b. Parent/Guardian 2 and Applicant Have Same Residence:
  Yes  No Yes  No
  c. Parent/Guardian 1 Name:
c. Parent/Guardian 2 Name:
     
  d. Parent/Guardian 1 Occupation:
d. Parent/Guardian 2 Occupation:
     
  e. Parent/Guardian 1 Employer:
e. Parent/Guardian 2 Employer:
     
  f. Parent/Guardian 1 Highest School Grade:
f. Parent/Guardian 2 Highest School Grade:
     
  g. Parent/Guardian 1 Country of Origin:
g. Parent/Guardian 2 Country of Origin:
     
         
  3. STEP-PARENT 1 INFORMATION 4. STEP-PARENT 2 INFORMATION
  a. Step-Parent 1:
a. Step-Parent 2:
  Living  Deceased Living  Deceased
  b. Step-Parent 1 and Applicant Have Same Residence:
b. Step-Parent 2 and Applicant Have Same Residence:
  Yes  No Yes  No
  c. Step-Parent 1 Name:
c. Step-Parent 2 Name:
     
  d. Step-Parent 1 Occupation:
d. Step-Parent 2 Occupation:
     
  e. Step-Parent 1 Employer:
e. Step-Parent 2 Employer:
     
  f. Step-Parent 1 Highest School Grade:
f. Step-Parent 2 Highest School Grade:
     
  g. Step-Parent 1 Country of Origin:
g. Step-Parent 2 Country of Origin:
     
         
  5. AGES OF YOUR BROTHERS
6. AGES OF YOUR SISTERS
     
  7. RELATIVES WHO HAVE ATTENDED THE SOPHIE DAVIS PROGRAM/CUNY SCHOOL OF MEDICINE
   
 
Section F: ADDITIONAL INFORMATION (*indicates required field)
 
  1. Do you plan to work during the academic year? Yes  No If yes, how many hours?
 
  2. How did you hear about the Sophie Davis Program/CUNY School of Medicine?*
Other:
 
  3. Did you attend the Open House?* Yes  No
 
  4. Have you participated in any on-campus visitation programs? Yes  No If yes, name of program?
 
  5. Are you interested in student housing?* Yes  No
 
  6. Have you participated in a medical career enrichment or other honors program? Yes  No If yes, please specify:
A Better Chance
CCNY
Venture Scholar
Gateway
Gear Up
Sophie Davis Health Professions Mentorship Program
Pipeline (please specify)
   
HPREP

Other
 
Section G: RECOMMENDATIONS (*indicates required field)
 
LIST THE NAMES OF FIVE PEOPLE WHO CAN WRITE KNOWLEDGEABLY ABOUT YOU**
 
  • Five letters of recommendation are required. Letters should be sent electronically to the Sophie Davis/CSOM Office of Admissions by the deadline. Letters of recommendation sent in after the December 30, 2020 deadline will not be considered.

  • Be sure that your full name is included in each recommendation and that all are written on official stationery. One letter must come from a science teacher in your high school, one letter from a college advisor or guidance counselor, one letter from someone outside of your high school (from a volunteer, work, community, health or extracurricular related experience) and two additional letters of your choice. Individuals from outside should email letters of recommendation directly to the Sophie Davis/CSOM Office of Admissions.**

  • It is your obligation to request that references be sent by December 30, 2020 to sdcsom@med.cuny.edu.

 
RECOMMENDATIONS
 
Name Email Address Subject/Organization
1.      
2.      
3.      
4.      
5.      
 
Letters of recommendation for admission are considered confidential. I understand that federal law provides me, after enrollment, with the right of access to these recommendations and that no school may require me to waive this right.

*Waive access to recommendations:

   Yes, I waive access to all letters of recommendation.
   No, I do not waive access to all letters of recommendation.
   
  **Sending Documents and Letters: Please send all letters of reference, on official letterhead, directly to the Sophie Davis/CSOM Office of Admissions. How to save a document in PDF format

If you have any questions or need any additional information, email the Sophie Davis/CSOM Office of Admissions (SDAdmissions@med.cuny.edu) separately.
 
Section H: SUBMITTING APPLICATION (*indicates required field)
 
Important! (PLEASE READ CAREFULLY)
 
Check the Sophie Davis Biomedical Education Program/CSOM website (https://www.ccny.cuny.edu/csom/sophie-davis-biomedical-education-program) for complete details on admission criteria and application instructions. The instruction letters are under the Admissions tab on the homepage. Students accepted Early Decision by colleges and universities are not eligible to apply to the Sophie Davis Biomedical Education Program/CSOM.
 
PLEASE MAKE SURE THAT YOU:
  1. Complete this application in full, use the 'SAVE' button below to save all of your entries as you fill out the application. Review it with your high school guidance counselor before you click 'SUBMIT'.

  2. Ask your guidance counselor to send your high school transcript to sdcsom@med.cuny.edu.

  3. Request that your letters of recommendation be sent, as soon as possible but no later than, December 30, 2020, to the address above. All references and documents must be postmarked no later than December 30, 2020.

  4. Complete either the general CUNY application OR the Macaulay Honors College application.

  5. Review your application, all the instructions and attach your essays with photo, before you click the 'SUBMIT' button. The application deadline is December 30, 2020.
 
Please Note: On the general CUNY application, among your college choices, one must be for The City College. One of the curriculum choices for The City College must be Biomedical Science (Sophie Davis Biomedical Education Program) BS-MD. The general CUNY application should be submitted by December 30, 2020.
 
NOTE: BEFORE YOU SUBMIT THIS APPLICATION FORM - PLEASE READ ALL ADMISSIONS INSTRUCTION LETTERS, COMPLETE ALL SECTIONS IN THE AUTOMATED APPLICATION AND REVIEW THE APPLICATION CAREFULLY.
 
*I certify the above information is true to the best of my knowledge. I understand that completing and submitting this application is only part of my applying to the Sophie Davis Biomedical Education Program/CUNY School of Medicine.
 
*This certifies that I have read and am aware of the Sophie Davis Biomedical Education Program/CUNY School of Medicine Technical Standards*.
 
*I further acknowledge that I must also complete either a CUNY application or a Macaulay Honors College application.
 
When you are finished with your essays and before you 'SUBMIT' this application make sure that all three of your essays and a photo are uploaded on this application*.
 
NOTE:
Due to COVID-!9, the CUNY Board of Trustees has resolved that SAT and ACT scores will not be considered for Fall 2021 admission.
 
Use the 'SAVE' buttons to save your data while you are working on your application. You can then login later and resume working on your application without losing any data.
 
IMPORTANT:
Applicants should complete a VIP profile. The creation of the profile will keep applicants informed of events and supplemental information. Use the Submit Application button below when your application is complete (including your uploaded essays and photo). Note that after submitting your application, you will no longer be able to revise it.