1 Personal Info2 Premed/Financial Info3 Education Info4 Electronic Signature5 Payment Full Name First Last Year In Which You Seek Admission (select only one)20182019202020212022202320242025202620272028202920302031203220332034203520362037Admission Category (check only one)*FreshmanTransferReadmitProposed Term of Enrolment (check only one)*Spring ( January )Summer ( May )Fall (September )Admission Program (check only one)*MD Basic SciencesMD Clinical SciencesPremedical ScienceFull Legal Name* First Last Date of Birth* Place of Birth*Email* Contact Number*If not U.S. citizen, are you a Permanent Resident?*YesNoPermanent Home Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Current Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Citizenship*Social Security Number (US & Canada only)Emergency Contact By checking the box, I authorize that emergency contact person stated above to access my academic and financial records kept with the University. I understand I may withdraw the authorization at any time by calling the Office of Student Affairs Emergency Contact's details: ( Include: Name, Address, Phone Number, Email. Relationship, Date of Birth) Premed Applicants Check here if you completed the GED instead of graduating from high school. Indicate all high schools attended in the space provided below. Have your official GED scores as well as transcripts from last high school sent directly to JFK’s Office of Admissions. Enter hereName(s) of school(s) attended in the past and dates of attendance: (Include: Country, Degree, Major & GPA*Home About Admission Pre-med M.D. Apply Online Tuition and Fees Financial Aid Dorms Faculty Contact Live your dream become a physician in USA JFK Toll Free 1-888-481-9201 John F. Kennedy University School of Medicine If you are a transfer student please list the courses you have taken / taking: (Include: Name of school, Dates & Grades)How are you planning to finance your education? (Check all that apply)* Personal Savings Parental Support Other Loans Other Sources: (Explain in the box below) Explain hereHow did you first hear about JFK University? (check all that apply)* Online Ad (site?) Search Engine (which one?) JFK Student (name) Newspaper (name) JFK Faculty/ School Advisor Other: ( specify ) This is a required field. Write here* Upload Official Transcripts From Each School Attended Drop files here or Upload Passport-Sized PhotoUpload copy of ID/ copy of passportUpload Two (2) Letters of RecommendationCertification* I, the undersigned, hereby apply for admission to the JFK University School of Medicine and if admitted, I agree to comply with the rules of the school and to cooperate with the Faculty and Administration in maintaining high standards of scholarship and conduct. I certify that all the information provided in this application and associated materials are correct, valid and complete. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. Electronic SignatureFull Legal Name* First Last Upload File Tuition & Fees***50% OFF Application Fee FROM $90.00! NOW $45Seat Deposit - $1000Pre-Clinic - $3900Medicine - $5900Clinicals - $7900Transcripts - $25We are currently having a 50% off our Application fees for our EARLY ADMISSIONS! Tuition & Fees***50% OFF Application Fee FROM $90.00! NOW $45Seat Deposit - $1000Pre-Clinic - $3900Medicine - $5900Clinicals - $7900Transcripts - $25We are currently having a 50% off our Application fees for our EARLY ADMISSIONS! This iframe contains the logic required to handle AJAX powered Gravity Forms.
