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Answer question "How did you hear about HMX Fundamentals? Select all that apply."
Answer question "Which science courses have you taken previously? Select all that apply."
Answer question "What is the highest degree or level of school you have completed? If currently enrolled, please indicate highest degree received."
Answer question "What are your top reasons for taking HMX courses? (Please select two or fewer.)"
Answer question "In no fewer than 250 words, please explain why you are interested in taking HMX Fundamentals. Please be sure to thoroughly explain your educational/academic goals, you
future career plans, and how you plan to use your studies to achieve your goals. You may also elaborate on your academic and/or personal achievements and life experiences, speci cally focu
on how they relate to your participation in this program. Please do not include your name in your essay, as we do a blind review. We recommend you compose your answer in a separate word
processing program and then copy and paste it here, to prevent accidental loss of data."
Answer question "If applicable, in no fewer than 250 words, please state any special personal or family circumstances affecting your need for assistance and describe what other nancial
assistance you have received to help pay for your current/previous educational experiences (e.g. Pell grants, other tuition waivers, work study, etc.). Please do not include your name in your es
as we do a blind review. We recommend you compose your answer in a separate word-processing program and then copy and paste it here, to prevent accidental loss of data."
Answer question "In no fewer than 100 words, please explain what would you do if you didn't receive this tuition waiver. Please do not include your name in your essay, as we do a blind revie
We recommend you compose your answer in a separate word-processing program and then copy and paste it here, to prevent accidental loss of data."
Personal Information
Pre x:
First Name:
Michael
Middle Name/Initial:
Last Name:
Jonatan
Preferred Name:
Gender:
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*Country of Citizenship:
USA
Institution/Employer:
Contact Information
Email Address:
michael.jonatan-13@fk.unair.ac.id
Address:
*Country:
USA
*Address:
*City:
State/Province:
*ZIP/Postal Code:
Registration Questions
Immunology
Physiology
Genetics
Biochemistry
Pharmacology
*How did you hear about HMX Fundamentals? Select all that apply.
Advertisement
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HMS website
Search engine
Word of mouth
Other
*Which science courses have you taken previously? Select all that apply.
Biology
Chemistry
Physics
Anatomy
Earth Science
Environmental Science
Other
*What is the highest degree or level of school you have completed? If currently
Associate degree
Bachelor's degree
Master's degree
Doctorate degree
Other
Current PA student
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Career changer
Other
*What are your top reasons for taking HMX courses? (Please select two or
fewer.)
Career advancement
Required/recommended by my school
Required/recommended by my employer
Other
*In no fewer than 250 words, please explain why you are interested in taking
educational/academic goals, your future career plans, and how you plan to use
your studies to achieve your goals. You may also elaborate on your academic
program and then copy and paste it here, to prevent accidental loss of data.
*A limited number of partial tuition waivers are available for this program.
Would you like to apply for a partial tuition waiver? (Note: The deadline to
apply for a tuition waiver is Tuesday, February 26, 2019 at 12:00 noon ET.)
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Yes No
*If applicable, in no fewer than 250 words, please state any special personal or
family circumstances affecting your need for assistance and describe what
other nancial assistance you have received to help pay for your
program and then copy and paste it here, to prevent accidental loss of data.
*In no fewer than 100 words, please explain what would you do if you didn't
program and then copy and paste it here, to prevent accidental loss of data.
65 or over
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