GCAM Application

Graduate Certificate in Academic Medicine


  • Submit complete, official transcripts from highest degree granting institution.

  • Application package must include:

    • Completed GCAM Application

    • Two (2) completed reference forms (one preferably from current employment expressing support for participation in the certificate program)

    • Personal Statement (1 double spaced page)

      • Describe your career goals and how completing this graduate certificate aligns with these goals.

Application package and official transcripts must be submitted to: fdc@unthsc.edu

 

Click here to download a Application

 


or complete a Online Application (fill out and click submit button)

 

GCAM Application

  • MM slash DD slash YYYY
  • Institution Name and Address -- Dates Attended -- Major Field of Study -- Degree
  • Internship -- Dates of Training -- Medical Specialty
  • Institution Name and Address -- Dates of Training -- Medical Specialty
  • Institution Name and Address -- Dates of Training -- Dept. or Field of Study -- Position
  • If so, email a copy of certificate. If not, please indicate your plans to obtain it. Email -- fdc@unthsc.edu
  • Rank -- Department -- Institution -- Dates
  • Rank -- Department -- Institution -- Dates
  • Rank -- Department -- Institution -- Dates
  • (Provide each with a reference form to complete at website) -- https://www.unthsc.edu/texas-college-of-osteopathic-medicine/wp-content/uploads/sites/9/GCAM_Reference_form1_rev_3-2021.pdf
  • Please provide a one page typed personal statement addressing your career goals. Describe how the Certificate in Academic Medicine will support those goals.
  • Please provide an official transcript from the institution where you completed your highest level degree. Email to fdc@unthsc.edu

 

Questions? email us at fdc@unthsc.edu

 

This page was last modified on May 10, 2021