Post-Baccalaureate Pre-Medical Application

A Letter of Recommendation is required, and Official Transcripts are preferred. Please send all materials to the Office of Undergraduate Admission. We will not review your application until they arrive.

Illinois Institute of Technology
Office of Undergraduate Admission
10 West 33rd Street
Perlstein 101
Chicago, IL 60616

Fax: 312.567.6939

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone *
Gender *
Male Female
Date of birth * / MM / DD YYYY
Ethnicity *
African American, African, Black American Indian/Native Alaskan Asian American Asian, including Indian subcontinent Hispanic, Latino Mexican American, Chicano Native Hawaiian/Pacific Islander Puerto Rican White/Caucasian Other Choose not to provide
Name of most recent school *
Most recent school's address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
CEEB code (if known)

Look up your CEEB code here: http://sat.collegeboard.org/register/sat-code-search (copy/paste the URL into a new browser window; your data will not be saved if you navigate away from this form)
For which semester are you seeking admission? *
Please provide a written statement (250 words minimum) that addresses your reasons for pursuing medicine and the objectives you hope to achieve. *
How did you hear about IIT?
Advertisement Brother/sister Campus visit Coach College fair Current IIT student Direct mail FastWeb IIT alumni Internet search Overseas representative Parent Peterson's Private Colleges and Universities magazine Trustee Referral Other