OSU Verification Form for the 3+1 Program

The applicant is responsible for submitting this form to OSU-CHS College of Medicine Admissions Office at osucomadmissions@okstate.edu by October 15.

Section 1: To be completed by OSU-COM 3+1 Program applicant.

Student Name *

OSU CWID: *

Anticipated Start Date *

OSU Primary Major *

Planned MCAT Date *

OSU Email *

Alternate Email

Student Signature *

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Date *

Phone *

Please ensure the correct email address is provided, as this form will be emailed to your academic advisor to finalize the next steps.

Academic Advisor Email *

Notes for Academic Advisor (optional)

After you have completed this section, scroll down to the bottom of the form and click submit to send to your academic advisor.

Section 2: To be completed by applicant’s OSU primary major academic advisor prior to application.

Academic Advisor *

OSU Email *

Department *

Phone *

I verify that the student is currently meeting the following academic requirements for the 3+1 Program for the approved major as outlined in the University Catalog and the OSU-CHS College of Medicine eligibility requirements.

Is enrolled as a full-time student.

Student’s primary major (above) is an approved major for the Freshman Med Bound or 3+1 Program. See the website to confirm list of approved majors.

The student has a cumulative 3.5 Grade Point Average (GPA) and a 3.5 science GPA.

No more than 29 degree-applicable transfer credit hours are applied towards the above major.
(concurrent/dual enrollment and AP credits DO count towards this credit hour limitation)

Completed no more than five (5) semesters in college at the time of application.
(concurrent/dual enrollment, AP credits, and summer coursework DO NOT count towards this semester limitation)

Completed 60 or more credit hours toward a bachelor’s degree in the approved major.

Advisor Signature *

Date *

Once submitted, the form and responses will be sent to preprofessional@okstate.edu to complete the final step.

Section 3: To be completed by OSU Pre-Professional Health & Law Support Services Office.

Pre-Professional Staff Member *

Title *

OSU Email *

Phone *

Preprofessional staff member has discussed the following with student.

OSU-COM 3+1 program specific requirements (e.g., MCAT timeline, hours of exposure, etc.).

OSU’s process for transferring back medical school coursework and applying for OSU graduation.

Pre-Professional Staff Signature *

Date *

Questions? Contact preprofessional@okstate.edu or 405-744-9965.

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