1.Below you will see all the questions including yes/no questions. Most of you will write 8 or 9 essays, the ones numbered 1-9. (Yes/No) Are there any current or pending disputes concerning your academic status? (Yes/No) Was your enrollment status ever interrupted during your undergraduate or graduate program, not including summer term (e.g. medical, personal, or academic reasons, military service, other)? If yes, please explain.

2.(Yes/No) Are you a community college TRANSFER student? This designation specifically only refers to individuals that enrolled at a community college with the express purpose of transferring to a four year institution. This EXCLUDES courses taken at community college during high school, during interruptions in your undergraduate studies (from a four year institution), or post-undergraduate studies. If you completed community college coursework during the excluded periods indicated, do not answer yes to this question. (Yes/No) Has your education included any formal, pre-medical postbaccalaureate programs? Are you a re-applicant to the Stanford Medicine MD Program? ( Note: Applicants who withdraw prior to the AMCAS verification process are not considered re-applicants). Yes, I have previously applied. No, I have NOT previously applied.

3.PRACTICE SETTING 1.What do you see as the most likely practice scenario for your future medical career? Choose the single answer that best describes your career goals and clinical practice setting: Academic Medicine (Clinical) Academic Medicine (Physician Scientist) Health Policy Primary Care Public Health/Community Health Global Health Please describe your motivation for this practice scenario. Why do you feel you are particularly suited for this practice scenario? What knowledge, skills and attitudes have you developed that have prepared you for this career path?

4.2. How will you take advantage of the Stanford Medicine Discovery Curriculum and scholarly concentration requirement to achieve your personal career goals?

5.About You BACKGROUND 3. Describe in a short paragraph your educational and family background. E.g., I grew up in New York City, as the 3rd child of a supermarket cashier and a high school principal. I attended Mann High School where my major interests were boxing and drama.

6.4. How have your life experiences shaped your perspective on medicine, health, or patient care—and how do you anticipate bringing that perspective into our learning community?

7.5. Please describe a significant contribution you've made to a community that matters to you. What role did you play, how did you influence others, and how did your actions create positive change?

8.AWARDS/SCHOLARSHIP (Yes/No) Have you received any of the following awards or scholarships? (Yes/No) Are you an applicant in the current cycle (regardless of pending decisions) for any of the awards or scholarships listed below? If so, please select the name(s) below. Please do not list a scholarship that was PREVIOUSLY awarded or decided (any status). The information requested here is specific to the current cycle with no final decision. PEER REVIEW PUBLICATIONS (Yes/No) Do you have peer-reviewed publications resulting from scholarly endeavors?

9.Additional Questions 7. What do you see as your greatest area for growth, and how will you address it?

10.8. Please describe a time you felt unfairly treated or judged and how you responded.

11.9. Please include anything else that will help us understand better how you may uniquely contribute to Stanford Medicine? (OPTIONAL).