Loyola University Chicago StritchSchool of Medicine

Advanced StandingApplication

Date of Application / AAMC ID Number (Required)
Last Name / First Name / Middle Initial / Salutation:(i.e., Dr. Mr. Miss, Ms. Mrs.)
Female: Male:
Gender / Date of Birth / Citizenship / Permanent Resident Status
() - / () -
Email Address / Preferred Phone Number / Permanent Phone Number
CURRENT / PREFERRED ADDRESS FOR CORRESPONDENCE
Street Address – Line 1 / Apt. #
Street Address – Line 2
City / State / Zip Code / Country
PERMANENT ADDRESS – IF DIFFERENT FROM ABOVE
Street Address – Line 1 / Apt. #
Street Address – Line 2
City / State / Zip Code / Country

Academic History:

Please list the following contact information for the Associate Dean for Student Affairs for the medical school where you are currently enrolled:
Last Name / First Name / Middle Initial / Salutation:(i.e., Dr.,Mr. Miss, Ms. Mrs.)
() - / () -
Email Address / Phone Number / Alternate Phone Number
MAILING ADDRESS
Street Address – Line 1 / Suite #
Street Address – Line 2
Street Address – Line 3
City / State / Zip Code / Country

Using the table below, please list all colleges / universities where you have completed coursework. Institutions should be listed chronologically from your most recent institution attended to your first institution attended.

More rows may be added to the table below by using the Tab Key from the last cell in the last row.

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Institution Name / City / State / Country / Dates Attended / Degree – if applicable

Stritch Legacy or Loyola Ties:

Do you have relatives who have graduated from Stritch School of Medicine? Yes: No:

Do you have relatives with ties to SSOM or Loyola University Chicago? Yes: No:

  • If yes, please enter the information in the following table.

More rows may be added to the table below by using the Tab Key from the last cell in the last row.

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First Name / Last Name / Relationship / Degree or ties to SSOM/LUC / Year

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Application History:

Have you previously submitted an application to Stritch School of Medicine? Yes: No:

  • If yes, for which academic year(s) (ex. 2014-2015 academic year)
  • What was your final status? ______

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Personal Essays:

  1. Please state your reasons for applying to Stritch School of Medicine.
  1. Please explain your current activities if you are not currently enrolled as a fulltime medical student during this academic year.
  1. Have you ever been the recipient of any action by any postsecondary institution for unacceptable academic performance such as dismissal, disqualification or suspension, or for conduct violations?

Jesuit Values:

SSOM is a home for all faiths. Our institution is founded on Jesuit principles of becoming men and women for others, education in the service of social justice, and care for the whole person.

  1. Please describe your personal faith and how it relates to your career in medicine.
  2. Please tell us how you embody Jesuit values.

Photograph:

Insert a digital photograph into the space provided.

The photograph will be used for identification purposes.

Application Submission:

Please submit this application to the Office of Admissions by May 1, 2015,by email to:

REQUIRED CREDENTIALS

Please forward the required credentialsto the StritchSchool of Medicine Office of Admissions by May 1, 2015:

Office of Admissions

Loyola University Chicago Stritch School of Medicine

2160 S First Ave

Bldg 120, Rm 200

Maywood, IL 60153

Advanced Standing Application:

  • Application for Admission with Advanced Standing
  • Nonrefundable $125 application fee payable to Stritch School of Medicine
  • Letters of evaluation are required (3 minimum):
  • Dean’s Letter of good standing (required)- The Dean of the medical school at which the student is enrolled must state that the applicant is eligible to continue in that program and give the reasons for transfer and an overall evaluation of the student.
  • Basic Science Professors (required) - This letter should be from a basic science faculty member who was taught the student at the medical school where the student is enrolled.
  • Additional letter (required) - preferably from a clinical faculty member, but any basic science professor, clinical professor, dean, or faculty member is acceptable, from the school in which the student is currently enrolled
  • Optional letters (up to three): These letters may be from mentors, undergraduate (or premed) advisors, clinical professors, or additional deans that know the student well.
  • Official transcripts Submit official transcripts from your medical school (directly to the Admissions Office). At a later point, the committee may request official transcripts from any colleges/universities you have attended since graduation from high school.
  • MCAT and USMLE Step 1 Scores
  • Copy of AMCAS application
  • Current CV/Resume

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