What term/semester are you applying to?
Fall Program (Deadline August 15th)
Spring Program (Deadline December 15th)
Summer Program (Deadline May 1st)
MCW is an affirmative action/equal opportunity institution and does not discriminate on the basis of age, sex, race, color, religion, national origin, veteran status, disability or sexual orientation. In order to evaluate the effectiveness of our recruiting efforts and ensure we are considering the needs of all our prospective students, please consider the following optional questions:
Are you Hispanic or Latino?
Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific
MCW values the unique backgrounds and identities of our incoming students. Please indicate if any of the following apply to you. Check all that apply.
I belong to a race or ethnicity considered underrepresented in medicine.
I identify as part of the lesbian,gay, bisexual, transgender, queer, intersex, or asexual (LGBTQIA) community.
I am the first person in my immediate family to attend college (excluding siblings).
I was born or grew up in a rural community.
I am a military veteran (including active duty and those transitioning to civilian life).
I come from an economically disadvantaged background.
I attended an underperforming elementary, middle, or high school.
My primary language is NOT English.
I have overcome a significant hardship.
Experience and Interests
Describe your educational and career goals?
Are you considering applying to an MS in Genetic Counseling Program?
Describe your relevant genetic counseling exposure, shadowing, or other relevant experiences that you have participated in.
Area(s) of Study
Year in School
Unofficial Overall GPA (round to the nearest hundredth)
Graduation Date (MM/YYYY) (or anticipated)
How did you hear about the Genetic Counseling Career Research & Exploration Workshop?
Current or Former Professor
Former Pure Participant
MCW Current Student
MCW Former Student
By entering your name in the signature box below, you are:
Validating that the information you have provided on this application is accurate and truthful to the best of your knowledge.
Confirming your willingness to share the information you have provided with MCW faculty and staff members involved with the selection and placement of PURE applicants.