Ohiyesa Premedical Program

Status *

Complete

Incomplete

OPP is designed in the spirit of Ohiyesa (Dr. Charles A. Eastman) and his trail blazing contributions to the medical community and Native American health. The program will enroll 8 motivated Native American students entering either 1st year or 2nd year at a tribal or community college by the program matriculation date of June 2022.

First Name *

Last Name *

Mailing Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email address *

Preferred contact method *

Gender *

Nonbinary

Female

Male

Prefer not to say Prefer not to say

Will you be at least 18 years of age by June 1, 2022? *

Yes

No

What college or university will you be attending in fall 2022: *

What year in school will you be in fall 2022? *

Freshman

Sophomore

Junior

Senior? Senior?

What Native American or Alaskan Native Tribe(s) are you a member of, are from, or do you belong to? *

Please provide proof of tribal enrollment in the form of your Tribal enrollment number, attachment of a verifying document, or a photograph of your Tribal ID. (Optional)

Upload Photograph of Tribal ID

Essay Questions

In 250 words or less, please tell us about your connection to your Tribe(s) and involvement in your community(s). *

0/250 words

In 250 words or less, please describe your interest in the field of medicine, including your goals and how you hope to benefit yourself, your community, or others by participating in the Ohiyesa Premedical Program. *

0/250 words

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Your application will be considered complete when the above application is filled out and letters of recommendation have been submitted on your behalf.

You will need two letters of recommendations (you must make these requests) and letters should be emailed by the letter writers to flip@partners.org as a PDF document and include an official letterhead at the top and be signed by the letter writer.

Letters must be emailed DIRECTLY by the letter writer.

We encourage that at least one of the letters come from a faculty or staff member of your Tribal or Community College.