SUNY Brockport

Pre-Professional Health Interests Questionnaire

Your answers to the following questions will help us understand your academic and career interests and need for Pre-professional Health advisement. Pre-Med, Pre-Dental, Pre-Vet, Pre-Podiatry, Pre-PA, Pre-Pharmacy and Pre-Optometry students receive tailored advisement for these programs. Additionally, students interested in the Pre-Professional Health minor can self-identify here.

Name Name First Last
Banner ID Number
netID
Email
Major
If other, please indicate your major
Minor #1
Minor #2
What Pre-Health Fields are you considering? Check all that apply to you

What Pre-Health Fields are you considering? Check all that apply to you Physician Podiatry Veterinary Physician's Assistant Dentist Pharmacist Optometrist I am not interested in pursuing a Pre-Health Profession Other Other
What steps have you taken towards your goals? This could include declaring major/minor coursework, volunteering, shadowing, work experience, etc. (If none, please indicate)
What is your timeline for application? Provide as much information below as possible. Include projected standardized testing dates, intended application date, and anticipated enrollment semester.
When is your projected graduation date?
Who is your current academic advisor?
Would you like to declare a Pre-Professional Health Minor?

Would you like to declare a Pre-Professional Health Minor? Yes No Maybe
Check below if you would like to schedule an appointment with a PPH Advisor!

Check below if you would like to schedule an appointment with a PPH Advisor! Yes, please as soon as possible. I've already connected with them! Not at this time
If yes, please complete a Declaration of Minor form using this link: https://forms.brockport.edu/view.php?id=3804618

This is the description of your section break.
Comments or Questions?

SUNY Brockport

Pre-Professional Health Interests Questionnaire

If yes, please complete a Declaration of Minor form using this link: https://forms.brockport.edu/view.php?id=3804618