Albert Einstein College of Medicine

1.I have taken time off from school during my undergraduate years. If you answered, "yes" to the above question, please explain.

2.Please use this space to tell us anything about yourself that you would like us to know. If you do not wish to write anything, please write “NA.”.

3.What unique life experiences, personal attributes and/or perspectives will you bring as part of the incoming class? Are there particular challenges or successes that you have encountered? If you do not wish to write anything, please write “NA.”.