1. Were there changes to your academic professional and/or personal circumstances due to the COVID-19 pandemic that you would like to share with the committee? (Y/N) (If yes, 500 characters max)
2. During the Covid-19 pandemic, if you were offered an option to continue courses with a standard grading system or switch to Pass/Fail, and you elected Pass/Fail, please describe the reason(s) for your decision here. (500 characters max)
3.  Independently of the Covid-19 pandemic, have you taken any online courses for credit? (Y/N) (Simply list If yes)
4. Have you been nominated for or received an award from any state, regional or national organization? (Y/N) (Simply list If yes)
5. Have you taken or are you planning to take time off between college graduation and medical school matriculation? (Y/N) (If yes, 500 characters max)
6. Have you participated in any global activities outside of the U.S. prior to submitting your AMCAS application? (Y/N) (If yes, 1,000 characters max)
7. Did you participate in a pre-medical enrichment or pathway program during your undergraduate studies? (Y/N) (If yes, 1,000 characters max)
8. The Perelman School of Medicine (PSOM) is deeply committed to recruiting a class inclusive of diverse perspectives and experiences; this enriches the instruction we provide, enhances team-based learning, and ensures our students’ preparation to address the health needs of a pluralistic society. How would your life experiences contribute to the student body and how would you contribute to an inclusive atmosphere at PSOM? (1,000 characters max)
9. We are all navigating through challenging times at home and abroad, and physicians and physician-scientists must contend with many instances of uncertainty. Please describe a time when you faced a situation that was ambiguous, confusing, or uncertain, and how you navigated making a decision without complete information. (3,000 characters max)
10. Do you identify as a first-generation college graduate and/or having a low-income background?
    We recognize that the definition of “low income” can vary based on geographic location, zip code, and size of your household, but there are some factors typically associated with being low-income, such as qualifying for free/reduced lunch in middle/high school, receiving Pell grants or work-study aid during college, qualifying for Medicaid/Social Security benefits, or attending a high school with low per capita funding, Title 1 designation and/or a low percentage of seniors receiving a high school diploma.  (Y/N)
11. Have you or your family experienced economic hardships, regardless of current income status? (Y/N) (If yes, 1,000 characters max)
12. Have you ever been employed at the University of Pennsylvania Health System or Children’s Hospital of Philadelphia and worked with a University of Pennsylvania faculty mentor(s)? If yes, please indicate name, department, phone number of faculty member(s), and start/end dates (Y/N) (List only, No essay)
13. Please share your reasons for applying to the Perelman School of Medicine. (1,000 characters max)

Additional MSTP prompts:

1. Please use keywords or phrases, separated by commas, to identify your research interests more specifically. Do not use tabs or add lines by hitting the enter key. (500 characters max)
2.  List you research experience chronologically, starting with the most recent, and including your anticipated experience for the remainder of this academic year. For each experience, please provide clear information about the time commitment. (For instance, if you worked continuously in one lab for a year, putting in full time hours during the summer, and part time hours during the school year, you might state: “full time (about 50 hours a week) from mid May until the end of August, continuing part time (about 10 hours a week) from September to April”. Note that if you worked two summers in the same lab, but did *not* work in that lab at all during the school year, these should be listed as two separate research experiences.)
   For each experience, indicate whether your mentor will provide a letter of recommendation. If you do not select a letter from an individual with whom you had an extensive research experience, please provide an explanation in the comments section.
3. If you are out of undergrad and are currently doing research, please list your primary institution for the coming year below. (This will also be included in the summary above, but is helpful to us to have as a separate data field)
4. How many months of FT research effort do you expect to have had by August of next year when you would join our program? We are asked to report this data to NIH for matriculants.
   Calculation Instructions: For many individuals, this value will reflect months of summer research experience or full-time research experience following college. Part-time research, for example during the school year, should be converted to full time – e.g., 15 hrs/week for 8 months = 3 months. (Here’s how the calculation works. When converting part time to full time, we use a standard 40 hour work week. So, we take 15 and divide by 40 = .375 (aka ~37.5% of full time). 8 months times .375 gives you 3 months). If you worked full time in a lab for 6 months and you averaged a lot more than 40 hours a week, it still only counts as 6 months full time – don’t adjust for that. We only use the 40 hour standard when converting part time experiences. Labs associated with a course, such as an organic chemistry course lab, should NOT be included.
5. If you have publications as the result of your research, please provide the full citations here. It would be helpful to distinguish them using the following categories: Published/peer reviewed, published/not peer reviewed, submitted and under revision. Please note that manuscripts “in prep” should not be included. You may add other descriptors or information if helpful. If you do not have any publications at this time, please indicate that (eg by typing “no publications yet”).