PREP Program Application

To apply for admission to the USC PREP program or to obtain additional information please use the form below.

*Required fields

What kind of inquiry or application are you submitting? *

Initial inquiry in order to obtain further informationAn application for admission to the PREP Program

When would you like to be admitted if you application is successful?

Full Name *

Please enter your full permanent mailing address *

Please enter your present mailing address, if different from above

Email Address *

Phone Number *

Please enter your date of birth

MM/DD/YYYY

Please select your gender

MaleFemale

Please enter your country of birth

Please enter your country of citizenship

You must be a US citizen or permanent resident to enroll in the PREP Program.

Are you a permanent US resident?

YesNo

Which under-represented community do you belong?

You must belong to an under-represented community to apply to PREP. These include: ethnic minorities, the disabled and persons from a disadvantaged background. If you are a minority applicant, please state your ethnicity. For further information on eligibility, see Eligibility of Participate in PREP on the Home Page.

Have you attended an HBCU?

YesNo

If you have attended an HBCU, please give the name of the institution and your dates of attendance

You do not need to have attended an HBCU to be admitted to the PREP Program.

Please list other universities that you have attended with the dates of attendance, the degree that you obtained and your major subject

No more than three years must have elapsed between your graduation with a baccalaureate degree and your entry into PREP.

What is your GPA from each of the universities that you have attended?

Please list four faculty members in the PREP Program with whom you would like to meet, if you are called for an interview

For this please refer to the PREP faculty page.

Please enter any other information of relevance to your application such as GRE scores. You do not need to have taken the GRE to enter PREP

Please enter any name that is different from the one given above that may be on any part of your transcripts

Please give the names of the three persons who you have requested to send letters of recommendation

How did you learn about NIH Post-baccalaureate Research Education Programs (PREP)?

How did you learn about the University of South Carolina PREP?

If you apply and receive an interview, we would like you to name up to four professors whose research interests you and with whom you may like to work. You can view a list of our affiliated researchers to learn more about their interests.

School of Medicine Columbia

PREP Program Application

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