UNDSMHS | Medical School Application

Request for Application

Application: Request for Application

Request for Application

Fill out the following form to request an application for admission to UND's Medical School. Click the "Submit Application" button at the bottom of the page to send your data.

After you submit your request it will be reviewed and further instructions will be sent to the e-mail address you list on the form. You should receive this e-mail response within 7-10 working days (depending on the volume of requests). If you don't receive a response within that time frame you can check the status of your request by e-mailing Jude Heit.

Please only submit one application request!
** Paper applications must be typewritten. If you request a paper application it will be sent to the address you list on this form.

1. Select type of application:

Electronic Paper

2. Enter your personal information:

First Name: *

Middle Name:

Last Name: *

Former Name:

Home Address: *

City: *

State: *

Zip Code: *

County: *

Country: *

Email Address: *

Phone Number: *

(xxx-xxx-xxxx)

Your State of Residence: *

Year you became a Resident: *

Example: 2008

Mother's State of Residence: *

Father's State of Residence: *

Select one of the following applicant types:

ND Resident

Former ND Resident

MN Resident

WICHE

INMED

Non-Resident: Graduate of or a close family member is a graduate of a college or university located in North Dakota.	Non-Resident: No prior connection to the state of North Dakota.
Not Sure See Comments Below

Comments about residency status:

If you applied last year it is possible to load your previously entered data. If we are able to do this you would still be able to make edits and additions to any previous data before finalizing application. Would you like us to load your previous data?

Yes No or didn't apply last year

Password: *

Be sure to remember your Email Address and Password because you will need them to fill out an online application.

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Office of Student Affairs
School of Medicine & Health Sciences
501 N. Columbia Rd STOP 9037
Grand Forks, ND 58203