NEW YORK MEDICAL COLLEGE

PRE INTERNSHIP PROGRAM

MUNGER PAVILION, SUITE 173
VALHALLA, NY 10595

REQUIREMENTS FOR APPLICATION

1.

The admissions committee will review this application and once all of the requirements pertaining
thereto have been fulfilled and the application is complete will an interview be granted.

2.

Please type or use ballpoint pen to enter your information. Original signature must appear on
application. Do not send copies!

3.

Fees: a non-refundable application fee of $100.00 must accompany the application. Please make your
check or money order payable to: NEW YORK MEDICAL COLLEGE, PRE INTERNSHIP
PROGRAM. The fee is not waived under any circumstance. The application fee is valid for one year.
Do not send cash.

4.

Transcripts:
An official transcript from each undergraduate college is to be sent directly to New York Medical
College, Pre Internship Office from the school regardless of the courses pursued, including summer
study. A combined transcript with transfer credits is not acceptable.
An original medical school transcript and an original translation with an original signature of the
translator must appear on official letterhead. You may have it translated by your medical school, a
translation bureau or any college or university that has a Spanish Department (this must appear on
school letterhead).
Notarized copies are acceptable.

5.

Two or more letters of recommendation must be submitted directly to the Pre Internship office in your
behalf from physicians who have supervised you during an externship or eighth semester program in the
United States. If you did not work in the United States, have your medical school submit two letters of
recommendation, in English, to this office regarding your performance.

6.

A Deans letter must be received prior to interviews. If the applicant is currently enrolled, the letter
must state that the applicant is enrolled in good standing. If applicant has graduated, it must state that
he/she satisfactorily completed four years and the dates of enrollment and/or just completed.

7.

Certified transcript of USMLE scores from USMLE and a copy of your score report (both pages). A
copy of MCAT scores. Both must be submitted for school records.

8.

Applicant must be a US Citizen, have permanent resident status (green card).

Canadian students are eligible for entry into the Pre-Internship Program provided they meet
additional requirements. Please contact the Pre-Internship Office for further information

9.

A clinical review course is held for new students at the college campus one week prior to the start of the
program and begins the day after orientation and registration.

Rolling Admissions
For both classes
January Class
July Class

NEW YORK MEDICAL COLLEGE

PRE INTERNSHIP PROGRAM
MUNGER PAVILION, SUITE 173
VALHALLA, NY 10595

ADMISSION REQUIREMENTS
Requirements for admission to the New York Medical College, Pre Internship program include:
1. You must have completed in an Accredited American College Or University,
undergraduate or pre-medical work of the quality acceptable for matriculation in an
accredited United States medical school.
2. You must have studied at a medical school outside the United States and Puerto Rico, but
which is recognized by The World Health Association and the State of New York.
3. You must have completed all of the formal requirements of the foreign medical school,
except internship. You can not have your final degree to enter into the Pre Internship
Program.
4. You must have academic records acceptable to New York Medical College and the
affiliated hospitals.
5. You must be a U.S. Citizen, have permanent resident status (green card).
Canadian students are eligible for entry into the Pre-Internship Program provided they
meet additional requirements. Please contact the Pre-Internship Office for further
information
6. Pre Internship Program must be started within one year after successful completion of
medical school studies.
7. You must have passed STEP I of the U.S.M.L.E. examination.
8. Each students credentials must include:

Two semesters of inorganic chemistry or general chemistry.

Two semesters of organic chemistry (including aliphatic and aromatic compounds)
Two semesters of general biology with zoology
Two semesters of physics
Two semesters of English composition
All science courses must include laboratory

APPLICATION FOR ADMISSION

NEW YORK MEDICAL COLLEGE
Pre Internship Program

Tel# 914 594-3651

Fax# 914 594-4325

Munger Pavilion, Suite 173

Valhalla, NY 10595

CLASS APPLYING FOR:

JANUARY _____ JULY _____ YEAR _________

NAME___________________________________________________________________________________________________
(LAST)
(FIRST)
(MIDDLE)
TELEPHONE #
PERMANENT ADDRESS______________________________________
(
) __________-____________________
(STREET)
CELL # (
) __________ - ____________________

(TOWN/CITY)

(STATE)

CURRENT ADDRESS_________________________________________
(STREET)
(TOWN/CITY)

(STATE)

SOCIAL SECURITY # _______-_______-_______

Signature

(ZIP CODE)

MALE_____ FEMALE_____ E-Mail Address______________________

PLACE OF BIRTH
Place Photograph Here With

(ZIP CODE)
TELEPHONE #
(
) __________-____________________

DATE OF BIRTH:__________________

CITY ____________________STATE_________________ COUNTRY____________

CITIZEN OF THE U.S.? YES ___________ NO___________
GREEN CARD?
YES___________ NO___________
IF YES, A COPY MUST BE SUBMITTED WITH APPLICATION
HAVE YOU APPLIED PREVIOUSLY TO THIS MEDICAL SCHOOL? YES__ NO__

EMERGENCY CONTACT__________________________________

1. DO YOU HAVE ANY RELATIVES WHO HAVE ATTENDED OR ARE ATTENDING THIS COLLEGE OR WHO ARE
MEMBERS OF THE FACULTY?
ALUMNI______________________________

NAME________________________ RELATIONSHIP __________________

FACULTY____________________________
NAME________________________ CLASS OF _______________________
NEW YORK MEDICAL COLLEGE ADMITS STUDENTS TO ALL RIGHTS, PRIVILEGES, PROGRAM AND ACTIVITIES
GENERALLY MADE AVAILABLE TO STUDENTS AT THE COLLEGE WITHOUT REGARD TO SEX, RACE, COLOR OR
NATIONAL AND ETHNIC ORIGIN.
PAGE 2
2. MILITARY SERVICE: YES ______ NO ______ DATES OF SERVICE: FROM_________ TO________
BRANCH _________________________________________________________________________________

3. SUMMARY OF HIGHER EDUCATION (LIST IN CHRONOLOGICAL ORDER):

A. ALL UNDERGRADUATE COLLEGES ATTENDED:
CAMPUS
YEARS OF
INSTITUTION
LOCATION/STATE
ATTENDANCE

FIELD OF
YEAR DEGREE
CONCENTRATION
GRANTED_________

B. INSTITUTION GRANTING CREDIT FOR REQUIRED PREMEDICAL COURSES:

C. ALL UNDERGRADUATE SUMMER SCHOOLS ATTENDED:

D. ALL GRADUATE OR PROFESSIONAL SCHOOLS ATTENDED:

E. ALL MEDICAL SCHOOLS ATTENDED

UAG CREDENTIAL #:_______________________

DATE OF ANTICIPATED COMPLETION:_________________

4. LIST ANY HONORS, AWARDS OR OTHER SPECIAL RECOGNITIONS YOU HAVE RECEIVED:

5. APPLICANTS FROM MEDICAL SCHOOLS IN MEXICO:

HAVE YOU COMPLETED ANY PORTION OF AN INTERNSHIP IN MEXICO OR ELSEWHERE?

YES / NO

6. APPLICANTS FROM MEDICAL SCHOOLS OUTSIDE MEXICO:

ARE ADDITIONAL REQUIREMENTS MADE OF YOU OTHER THAN STANDARD COURSE WORK IN YOUR
PRESENT MEDICAL SCHOOL FOR A FINAL M.D. OR EQUIVALENT DEGREE? IF YES, PLEASE EXPLAIN.
IF NO, PLEASE EXPLAIN YOUR REASONS FOR SUBMITTING AN APPLICATION TO THE FIFTH PATHWAY PROGRAM:

PAGE 3
7. MEDICAL COLLEGE ADMISSION TEST (MCAT) INFORMATION:
TEST DATE
MONTH

TEST SCORES_______________________
YEAR

BIO

CHEM

PHYSICS

SCIENCE PROBLEMS

READING

QUANT.

TOTAL

COPY OF MCAT SCORE MUST BE SUBMITTED AS SOON AS POSSIBLE

8. PLEASE INDICATE WHETHER YOU HAVE TAKEN THE USMLE EXAMINATION AND THEIR RESULTS:
PLEASE STATE ECFMG / USMLE # _____________________________________
YES / NO

STEP I _______________ DATE ____________ DATE TO RETAKE EXAM____________

YES / NO

STEP II CK______________ DATE ____________ DATE TO RETAKE EXAM____________

YES/NO
STEP II CS ______________ DATE ____________ DATE TO RETAKE EXAM____________
____________________________________________________________________________________________________________
9. ELECTIVES OR EXTERNSHIPS / HOSPITAL TRAINING

INSTITUTION

LOCATION

ATTENDANCE DATES
FROM/TO

FIELD OF CONCENTRATION

10. FOR THOSE STUDENTS APPLYING FROM MEXICAN SCHOOLS: HAVE YOU COMPLETED OR ARE YOU
ENROLLED IN AN EIGHTH SEMESTER PROGRAM?
YES _____________NO ________________ WHERE ________________________________________________________
11. HAS YOUR EDUCATION BEEN CONTINUOUS TO DATE OTHER THAN FOR VACATION? YES
__________NO_______
IF NO, OR IF YOU ARE NOT NOW IN MEDICAL SCHOOL, INDICATE WHAT YOU HAVE DONE SINCE GRADUATION

WERE YOU EVER REQUIRED TO LEAVE ANY COLLEGE, GRADUATE OR MEDICAL SCHOOL OR EVER DENIED
READMISSION BECAUSE OF DEFICIENCIES IN EITHER CONDUCT OR SCHOLARSHIP? YES __________ NO______
IF YES, PLEASE EXPLAIN:
PERSONAL INTERVIEWS WILL BE REQUIRED, AND WILL BE BY INVITATION OF THE ADMISSIONS COMMITTEE
ONLY. PLEASE INDICATE BELOW WHEN YOU WOULD BE AVAILABLE FOR AN INTERVIEW

AREA OF MEDICINE OR TYPE OF PRACTICE YOU ARE INTERESTED IN

PAGE 4
12. YOUR PERSONAL COMMENTS: (Brief description of why you have decided to attend Medical School)

13. HAVE YOU EVER BEEN ENROLLED IN A PRE INTERNSHIP OR FIFTH PATHWAY PROGRAM BEFORE?
YES_______________NO__________
IF YES, PLEASE EXPLAIN:

14. ARE YOU APPLYING AS A COUPLE?

SPOUSE

YES______________ NO______________, IF SO PLEASE GIVE NAME OF

15. HAVE YOU RECEIVED YOUR M.D. DEGREE? YES____________ NO____________

IF NOT, WHAT ADDITIONAL REQUIREMENT(S) ARE NEEDED BY YOUR MEDICAL COLLEGE BEFORE THE FINAL
DEGREE IS GRANTED?
_________ FINAL EXAM

_________ EXTERNSHIP

_________ SOCIAL SERVICE

_________GOVERNMENT SERVICE

_________ INTERNSHIP

_________OTHER (PLEASE EXPLAIN)

____________________________________________________________________________________________________________

PAGE 5
MEDICAL SCHOOL RECORD
COURSES TAKEN

YEAR TAKEN

GRADE

____________________________________________________________________________________________________________
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Biol.Sci

CollegeWhere
taken

YearTaken
1,2,etc.

InProgressor
tobetaken

CreditHours*

NonScience

ActualGrade

CollegeWhere
taken

YearTaken
1,2,etc.

CreditHours*

ActualGrade

Sciences

InProgressor
tobetaken

Allundergraduatecoursesshouldbelistedexceptphysicaleducation,rotcandthelike.Applicationwillnotbeconsideredunlessthissectioniscompleted.Summarizeany
graduatecoursesonpage3oronaseparatesheetofpaper.

Calculateyourscienceandnon
sciencegradepointaveragesfrom
columntotalsatleftbelow,multiplyby
theweightfactoraslistedforyour
gradeintheconversiontable.(onnext
page)

English

Gen.Biology

Sciences

Embryology

(A+,A)4.0x____=_________

Comp.Anat

Psychology

(A)3.7x____=_________

Genetics

(B+)3.3x____=_________

Physiology

(B)3.0x____=_________

Bacteriology

Frgn.Lang.

(B)2.7x____=_________
(C+)2.3x____=_________
(C)1.7x____=_________

Chemistry

()

(D+)1.3x____=_________

Gen.Chemistry

(D)1.0x____=_________

Org.Chemistry

(D)0.7x____=_________

Inor.Chemistry

Philosophy

(F)0x____=_________

Qual.Anal.

Total______________

Quan.Anal.

HrsHonorPoint

Biochemistry

History
NonSciences
(A+,A)4.0x____=_________

Physics

Economics

(A)3.7x____=_________

Gen.Physics

(B+)3.3x____=_________
(B)3.0x____=_________
Sociology

(B)2.7x____=_________

Math

(C+)2.3x____=_________

Algebra

(C)1.7x____=_________

Trigonometry

PoliticalSci.

(D+)1.3x____=_________

Anal.Geometry

(D)1.0x____=_________

Calculus

(D)0.7x____=_________
Other

(F)0x____=_________
Total______________

Other

HrsHonorPoint

Totals

Totals

*Credithoursshouldbelistedineitherallsemesterhoursorallquarterhours.Ifyouhaveattendedschoolswithbothsystems,convertquarterhourstosemesterhoursby
multiplyingby2/3,orsemesterhourstoquarterhoursbymultiplyingby3/2.INDICATEHEREWHICHSYSTEMYOUUSEDINRESPONDING
(1)semesterhours(2)quarterhours

Enteryourestimatednoncumulativegradepointaverages
below
Science
GPA

NonSci
GPA

Combined
GPA

HonorPts/CreditHours=
_____._____=_______

1(Fresh)

2(Soph)

HonorPts/CreditHours=

3(Junior

_____._____=_______

4(Senior)

Graduate

ScienceGPA(Cumulative)

NonScienceGPA(Cumulative)

HonorPts/CreditHours=
_____._____=_______

CombinedGPA(Cumulative)

Icertifythattheinformationsubmittedinthisapplicationiscompleteand
correcttothebestofmyknowledgeandbelief
Date_______________________

Signature__________________________________

Page6

PAGE7

Grade

Weight

GRADECONVERSIONTABLE

A
A
B+
B
B
C+
C
C
D+
D+
D
F

4.0
3.7
3.3
3.0
2.7
2.3
2.0
1.7
1.3
1.0
0.7
0.0

Evenifyourschooldoesnotassignaweighttogrades,youwillneedtousethistableinordertocalculateyourgradepoint
averageaccordingtogradesonyourofficialtranscript
A

AB
B

HP HP S+

B+
B

BC
C

CR

C+
C

CD
D

D
NC NC NC

H A+A

S
F

A
A
B
B
C
C
D

A
AB
B
BC
C
CD
D
DE
E

A+A E ON O
A
B+
B B+ S HP E
B
C+
C C+ M
P
G
C
D+
D D+
I HOD C
D
E
F
F NC U.F

P
U

HO

4.0

VG HP

3.5
3.0

2.5
2.0

PA

CR

1.5
1.0

NC

0.0

4.0 10093
3.93.7 9290
3.63.3 8987
3.23.0 8683
2.92.7 8280
2.62.3 7977
2.22.0 7673
1.91.7 7370
1.61.3 6967
1.21.0 6663
0.90.7 6260
0.60.0 59>