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Application Form for Medical H.E.L.P.

Application Form (Medical H.E.L.P.)

If you experience any issues with this form not submitting, please contact Ryan Orwig at (304)696-6315 or Orwig1@marshall.edu

    •  Section I: General Information
  •                    
  • Current Address

  • Permanent Address (Leave blank if same as current address)
     


    •  Section II: MCAT

    •  Section III: Medical School History

    •  Section IV: Academic and Accommodations History

    •  Section V: Diagnostic Testing Information

    •  Section VI: Additional Information

  • Parent's Address
  • *Contact Diana Porter, HELP Program Business Manager, to arrange $500 down payment: 304.696.5220 or porterd@marshall.edu

    *Any other questions, contact Ryan Orwig, Medical HELP Coordinator, at 304.696.6315 or orwig1@marshall.edu

    **All fields written in gray are optional

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