Have you completed the standard housing application online through VIP located at http://www.vip.sc.edu ? If no, DO NOT submit this application. We can not consider your request without a paid housing application on file with the University of South Carolina.
Full Name: (First, Middle, Last)
Email Address: [REQUIRED]
Term applying for:
Select Term
Fall 2008
Spring 2009
Fall 2008-Spring 2009
Address:
City:
State:
Select one
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Home Phone (including area code):
Cell Phone (including area code):
Date of Birth:
Gender:
Male
Female
Intended College Major
(Pre-Med is not an academic major.):
Interest in:
Medicine
Dentistry
Optometry
Veterinary
Other:
High School GPA:
SAT Score:
ACT Score:
Roommate Preference (not required):
a. Preferred Roommate’s Name:
Preferred Roommate’s Date of Birth:
b. Is he/she applying for the First-Year Pre-Medical Community?
Yes
No
Respond to the following questions:
1. List hobbies, extracurricular activities, and organizations, which you have participated in during college, as well as any leadership positions you have held.
2. Why are you interested in joining the First-Year Pre-medical Community? What do you hope to gain from this experience?
3. How would you contribute to the First-Year Pre-Medical Community?
4. Describe your goals related to the health/medical field.
5. Please describe any volunteer or work experience you may have had in a medical/health care setting.
Important Information
By completing and returning this application, I understand that the First-Year Pre-Medical Community is my first housing choice and supercedes other housing preferences I have previously indicated. I understand that if I am not placed into the Pre-Medical Community, I will be put on a waiting list for a space. While on the waiting list, I understand that my housing assignment will be made based on preferences noted on the standard housing application/contract. I understand that my active participation in the Pre-Medical Community is important to the success of the community and that a lack of participation may result in my removal from the community. I will also abide by the substance-free community standards for McBryde Hall Wellness Center and uphold the tenets of The Carolinian Creed.
Signature:
Date: