:: New College of Medicine Student (for cancellations please see below)
Is this student a new MDPhD student?
Date of Birth
Is this student a Vermont resident?
Is this student a US citizen?
Is this student Hispanic or Latino (including Spain?)
Does the student identify with one or more of the following groups?
Please select all applicable groups.
American Indian or Alaska Native
(including all Original Peoples of the Americas)
Asian (including Indian subcontinent and Philippines)
Black or African American (including Africa and Caribbean)
Native Hawaiian or Other Pacific Islander (Original Peoples)
White (including Middle Eastern)
COM Contact Person's Email Address: