Thank you for your interest in NJMS!
complete this application in order to have your complete file reviewed by our screening committee.
Fee waivers are
granted to those who have already been granted Fee Assistance Program (FAP) status on the AMCAS application.
We are committed to complying with the requirements of the Americans with Disabilities Act.
Please upload a photo.
Your photo must be a clear image of ONLY you and taken within the last 6 months.
(size limited to 30KB/dimensions limited to 150w x 180h)
AMCAS ID #
Please indicate if you have an interest in any of the following Dual Degree programs:
Please indicate if you would like to be considered for the
program at NJMS (If yes, additional information will be sent to you by email):
Have you previously participated or are you currently participating in any programs affiliated with NJMS? (
To select more than one program, hold down 'Ctrl' key or 'Command' key and select.
Summer Youth Scholars Program (SYSP)
Do you have any relatives currently attending or who have graduated from NJMS?
No Please provide name, relationship, and graduation year:
Do you have any other affiliations with NJMS, UMDNJ or Rutgers?
No Please provide name, relationship, and institution:
Have you applied to NJMS before? (Either through AMCAS or a combined degree program)
No Application Year(s):
Prior to July 1, 2016, did you meet with either Dr. George Heinrich or Ms. Mercedes Rivero?
Ms. Rivero Approximate Date(s):
We value qualities of integrity, humanism, diversity, and cultural competency in our student body. What would you bring to our medical school community?
Please discuss additional information not addressed in your application that you feel is important for the screening committee to know in reviewing your application (i.e. personal experiences, examples of resilience, discrepancies in academic history, etc...).
If there is any other information you feel enriches your candidacy, please feel free to share it here:
If you don't currently reside in NJ, please share connections (if any) you may have.
If you will not be a full time student between June 2016-August 2017, please describe in detail your planned activities, including chronology and time commitment.
Are you the first in your immediate family who will/has graduate(d) from a four year college?
Are you the first in your immediate family who will attend medical school?
Please indicate your Racial or Ethnic self-description:
Hispanic, Latino, or of Spanish origin
Native Hawaiian or Other Pacific Islander
Native Hawaiian or Other Pacific Islander
American Indian or Alaskan Native
I agree that New Jersey Medical School may request and I hereby authorize all appropriate sources, such as educational institutions and employers, to release transcripts and any other information to the Admissions Office for purposes of confirming or supplementing information contained in my application or relating to the admissions process.
I understand that, as a condition of admission, I may be required to authorize NJMS to obtain a supplemental criminal background check. I may also be required to obtain a background check myself or authorize clinical training facilities to conduct this check, and to permit the results to be provided by the reporting agency to NJMS and/or to clinical facilities.
I understand that as per New Jersey Medical School policy, every accepted student will be required to complete the Student Health Immunization requirements and submit the necessary forms as instructed prior to matriculation. I also understand that I will be unable to use my student health insurance to cover the cost of these requirements because satisfaction of these requirements is due in advance of student health insurance activation.
I certify that the information submitted on this application is complete and accurate. I understand that failure to provide complete and accurate information may affect my admission. I also understand that my application will not be considered until the Office of Admissions receives all the necessary documents.
I am submitting my
application and the $90.00 secondary application fee by Credit Card as per the NJMS application requirements. I understand that this fee is non-refundable.
I am requesting a fee waiver because I have received approval for the AMCAS Fee Assistance Program (FAP). I certify that "FAP" is indicated on my AMCAS application.
NJMS - Office of Admissions
185 South Orange Avenue, C-653
Newark, NJ 07103