College of Science and Health. Success in Healthcare is Measured by Degrees. Application for Admission:

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1 CHARLES DREW UNIVERSITY OF MEDICINE AND SCIENCE College of Science and Health Success in Healthcare is Measured by Degrees Application for Admission:! MPH: Master of Public Health! Part-Time! Full-Time! Post-Bac: Post-Baccalaureate in Premedicine Office of Enrollment Management 1731 East 120 th Street, Bldg. E Los Angeles, CA Fax:

2 Charles Drew University of Medicine and Science College of Science and Health APPLICATION CHECKLIST o I. APPLICATION FORM (2 pages) o II. APPLICATION FEES A non-refundable application fee must be submitted with this application. Please make check or money order payable to Charles Drew University. Refer to University website for appropriate fee amount. o III. POST-SECONDARY TRANSCRIPTS Submit official transcripts from each college and/or university attended. Transcripts from foreign institutions must be translated and evaluated from a foreign transcript evaluation service provider approved by Charles Drew University (See Attachment A for a list of providers). o IV. STANDARIZED TESTING For all foreign applicants-toefl scores are required. Please include official report with your application. o V. ESSAY QUESTIONS It is important that we are able to identify applicants who are the best fits with Charles Drew University of Medicine and Science s mission to serve underrepresented communities. To assist us in becoming better acquainted with you, we ask that you answer each of the questions below. Please address each question in an essay format. Submit a typed essay answering the following questions (Maximum 1 page per question): What is your future professional career goal, and how do you anticipate the program to assist you in pursuing/obtaining your goal? How do your current and past professional and volunteer experiences align with Charles Drew University mission of serving underserved populations? (For MPH Applicants only) Of all the MPH programs available, why did you choose the program at Charles Drew University that specialize in urban health? How does your specialization fit in with your future professional career goals, and how does it relate to your current/past professional/volunteer experiences? o VI. LETTERS OF RECOMMENDATION (A form is attached for your convenience) Submit three (3) letters of recommendation. At least one must be from an individual who can provide information about your academic ability. o VII. RESUME or CURRICULUM VITAE (CV) rev. 10/03/08 1

3 SUBMITTING YOUR APPLICATION: o I. DEADLINE Post-Baccalaureate in Pre-Medicine: Deadline for application is March 1 st for the following fall. Applications received after March 1 st will be considered on a space-available basis. Master of Public Health: Admissions decisions are made beginning April 1 st but applications are accepted until June 30 th if class has not been filled. o II. WHERE TO SEND YOUR APPLICATION Be sure the application is completed in its entirety with all required materials/documents. Only complete applications will be evaluated. Submit completed applications and its supporting documents to: Charles Drew University, Registrar, Office of Enrollment Management, 1731 E. 120 th Street Los Angeles, CA rev. 10/03/08 2

4 APPLICATION FORM (Pg. 1 of 2) BIOGRAPHICAL INFORMATION Last Name: First Name: Middle: Other Names Used: Home Address: Number / Street / Apartment Number City: State: Zip: Social Security Number: Telephone: ( ) Mailing Address: Number / Street / Apartment Number City: State: Zip: Birth Date: Gender (M / F) MM / DD / YYYY Use Mailing Address Until: CITIZENSHIP STATUS U.S. Citizen U.S. Permanent Resident (Alien Reg. # ) Non-residential Alien (Visa Type ) ETHNICITY (Optional) Black/Non Hispanic Asian/ Pacific Islander Latino/ Hispanic American Indian/ Alaskan Native White/Non Hispanic Other Assessment Data Official reports must be submitted with the admissions application. (For Foreign Applicants) : TOEFL date(s) Highest TOEFL score: rev. 10/03/08 3

5 APPLICATION FORM (Pg. 2 of 2) Summary of Educational History List in chronological order (most recent to first) all colleges. Use additional page (s) if needed. Institution 1 Institution 2 Location Location Begin/End Dates Begin/End Dates Degree rec d/ will rec. Degree rec d/ will rec. Grade Point Average Grade Point Average Academic Discipline Academic Discipline # of Units Completed # of Units Completed Institution 3 Institution 4 Location Location Begin/End Dates Begin/End Dates Degree rec d/ will rec. Degree rec d/ will rec. Grade Point Average Grade Point Average Academic Discipline Academic Discipline # of Units Completed # of Units Completed Will you need financial aid? Yes No If not, file FAFSA by March 2 nd. If so, have you completed the FAFSA? Yes No Will you need campus housing? Yes No Certification/Signature I certify that all the information I have provided on this application is complete, factually correct, honestly represented and accurate. I understand that falsification, misrepresentation or omission of information on this application and or my credentials may result in the denial or revocation of admission and if enrolled, will result in disciplinary action including dismissal from Charles Drew University of Medicine and Science. Applicant s Signature Date rev. 10/03/08 4

6 Recommendation Form College of Science and Health Charles Drew University of Medicine & Science 1731 E. 120th Street Los Angeles, CA TO THE APPLICANT: Please print your name below. By submitting a recommendation form to the College of Science and Health at Charles Drew University, you are waiving your right to see its contents. Make three (3) copies of this form and give this form to your recommenders. For each recommendation form, provide a self-addressed envelope in which the recommender will insert the completed form and seal and return to you prior to submitting your application. Applicant s Full Name: Recommender s Name: TO THE RECOMMENDER: This applicant is submitting an application for admission into Charles Drew University of Science and Medicine and has requested that your evaluation be included as part of the information on which the selection committee will base its decision. We are encouraging applications from individuals who possess intellectual and personal qualities that are essential for securing professional opportunities in the field of urban public health. We encourage your candidness in providing an honest and thorough evaluation of the applicant. Please be advised that your evaluation will be kept confidential and will be destroyed after the selection review process. 1. How long have you known the applicant? Please describe below your relationship wit the applicant. 2. If you were in a position to hire this applicant, would you offer her/him employment? Yes No If not please explain. 3. Personal and professional appraisal: (Please check the appropriate box for each category). Top 5% Top 15% Top 25% Top 35% Intellectual capability Leadership Professional competence Sense of Responsibility Ability to work well with people Ability to organize efforts of others Ability to work independently Emotional stability Writing Skills Interpersonal communication skills Ability to analyze and solve problems rev. 10/03/08 5

7 4. Comments: Please note any strengths and weaknesses and academic and/or professional achievements of the applicant and his/her potential for succeeding in a rigorous academic environment and as a public health professional. (Please type or print). 5. Do You: Strongly recommend Recommend Recommend with reservations Do not recommend Please type or print: Your name Title Organization Address Signature Date To the Recommender: Instructions for returning recommendation: Please place this recommendation in the envelope (provided by the applicant), seal, and sign across the seal. Return the sealed envelope to the applicant. The applicant will submit your recommendation as part of the admissions application. Thank you for your assistance. rev. 10/03/08 6

8 ATTACHMENT A (Pertains to applicants who attended foreign institutions) Foreign Transcripts Evaluation Service Providers World Education Services (WES) Bowling Green Station P.O. Box 5087 New York, NY / International Education Research Foundation (IERF) P.O. Box 3665 Culver City, CA / Academic Credentials Evaluation Institute (ACEI) P.O. Box 6908 Beverly Hills, CA / Global Services Associates, Inc Lincoln Blvd. #445 Marina del Rey, CA / Academic & Professional International Evaluations, Inc. (APEI) P.O. Box 5787 Los Alamitos, CA / American Education Research Corporation (AERC) P.O. Box 996 West Covina, CA / Educational Credential Evaluations, Inc. (ECE) P.O. Box Milwaukee, WI / rev. 10/03/08 7

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