FMAT Application

Be sure to answer all the questions. After pressing the submit button, you should see a message that your submission has been received, and you should receive an email.  Please contact the Office of Curriculum at SOMCurriculum@ttuhsc.edu if you do not see the confirmation message or receive an email.

       First Name:             Last Name:           MI:  
       Best Contact e-mail:       
       Phone Number:       
       Address:        City:        State:        ZIP:      

      TMDSAS ID      (only for TMDSAS applicants)

       Marital Status:   

       Town and State(s) you lived in from birth to age 18    
      

       Question #1 - (Short Essay, Max 300 words).
       What motivates you to participate in the FMAT program?      
      

       Question #2 - (Short Essay, Max 300 words).
       What experiences have you had that would prepare you for this intensive program?      
      

       Question #3 - (Short Essay, Max 300 words).
       What, in your opinion, distinguishes Family Medicine from other medical specialties?      
      

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