UAMS.EDU

APHS Application Part 1

Please fill this form out with proper English grammar and without using all-caps.

  • Student Information

  • Please check all that apply.
    This is for statistical purposes only.
  • This is for statistical purposes only.
  • Parent/Guardian Information

  • Emergency Contact

  • Educational Background

  • For the current (2016-2017) school year.
  • Include two digits after the decimal point. Do not round-up a GPA, for example, a GPA of 3.709 is 3.70 with 2 decimals and NOT 3.71.
  • Please fill out the complete school name.
  • Additional Student Information

  • What is your number one choice of career right now?
  • What is your backup career of choice?
  • If both of the above didn't work out, what would you choose for your career?
  • To be eligible for participation in these programs students must meet one (1) or more of the following three (3) criteria (please refer to the application instruction for details):
  • Please upload a professional photo of the student.
    Accepted file types: jpg, jpeg, gif, png.
  • (Optional) Please upload your résumé if you have one. This would help us in the selection process.
    Accepted file types: doc, docx, pdf.
  • By clicking "Submit", you agree that:

    • 1. Both the student and parent(s) have read the program description and agreed to its content and rules, and
    • 2. The information provided in this application is both complete and accurate.