Interview Date:    Primary Advisor:       
      Pre-Medical
***PHOTO***       Pre-Dental
      Pre-Veterinarian
      Pre-Optometry
Academic Year:      
     Pre-Professional Committee Interview Worksheet
Name:            Soc. Sec. #:    
Last First Middle Initial
Major(s):          Expected Graduation Date:  
Highest SAT score:                           
Total Math Verbal
MCAT, DAT, GRE or OAT (circle one) scores:                               Dates Taken:    
                            
OFFICIAL USE ONLY              
Lamar GPA:______ Quality Hours: _______ Transfer GPA: ________  Transfer Hours: ______
Math/Science GPA: _________ Hours:  _______ Other Universities Attended: _________________
  _________________________________
GPA by year: (specify if post-bac or graduate)  
1st: ___________ Hours: __________ 4th: ____________ Hours: __________  
2nd: __________ Hours: __________ 5th: ____________ Hours: __________  
3rd: __________ Hours: __________ 6th: ____________ Hours: __________  
RESUME (2 page maximum)
Please attach a current resume.  Information should include:  1) work experience, 2) academic awards,
3) community service, 4) interships/shadowing, 5) foreign language competency.
PERSONAL STATEMENT (1200 word maximum)
Please attach a personal statement.  Issues addressed may include the following topics:  1) motivation for 
medicine as a career, 2) areas of interest in medicine, 3) circumstances indicative of some 
hardship or adversity, 4) socioeconomic background, 5) race and ethnicity identification, 
6) first generation to attend or graduate from a university, 7) responsibility for the care of 
others or the rearing of children, 8) experience of other cultures and the human condition.
    PLEASE SUBMIT ALL MATERIALS AT LEAST 4 DAYS PRIOR TO INTERVIEW TO:
In person to: CARL PARKER 106
Via e-mail to:   jessie.larousse@lamar.edu   OR          
eitandria.gatlin@lamar.edu