Furman University Healthcare and Clinical Interest Form

Name Name First Last
Home City, State
Furman ID
Must be 7 digits. Currently Entered: 0 digits.
Email
Class Year
Major
GPA
Area of Health Career Interest
Have you met with the Office of Pre-Professional Advising? (TJ Banisaukas or Coreea Allen)
What semester are you planning on participating in an experience?

What semester are you planning on participating in an experience? Fall 2020 Spring 2021 Summer 2021 Fall 2021 Spring 2022 Summer 2022
What experience/program are you interested in? Check all that apply.

What experience/program are you interested in? Check all that apply. Child Life / Advocacy Dental Observations Develop My Own Experience GHS Observership (Fall and Spring only) GHS Marshall Pickens / Clinical Psychology GHS Roger C. Peace / Clinical Psychology Health Care Administration Medical Legal Partnership Occupational Therapy Observations Other Therapies (Art/Music) Other GHS Experience / Internship PA Observations Physical Therapy Observations Public Health Internship Speech Therapy Observations Veterinarian Observations Athletic Training/Corporate Wellness Genetics Nursing Medical Device/ Sales Other
Do you need academic credit for this experience?
Is this experience fulfilling a capstone requirement?
Is this experience to satisfy a clinical observation requirement?
Please note that pre-health students are not eligible to participate in most clinical experiences until spring term of sophomore year. You must have a cumulative GPA of 3.0. Students planning on the GHS Clinical Observership Program must have taken BIO 111, CHM 110 and at least one of the following: BIO 221, CHM 115, PSY 111 or SOC 101
Please select the classes you have completed or are currently enrolled in.

Please select the classes you have completed or are currently enrolled in. BIO 111 BIO 221 CHM 110 CHM 115 PSY 111 SOC 101
Did you receive AP/IB credit for any of the above courses?
Please list any health care related experiences you have had.
Maximum of 100 characters allowed. Currently Entered: 0 characters.
For more information, please email Rebecca.Redman@furman.edu