Name:_______________________________________________ Last First Middle VMCAS ID:_______________________ WESTERN UNIVERSITY OF HEALTH SCIENCES VETERINARY MEDICINE PROGRAM Prerequisite Worksheet DUE ON OR BEFORE OCTOBER 2, 2014 Indicate how you have fulfilled the prerequisites listed below. If a course is in progress you must indicate as such. If your course is not listed currently in the prerequisite database, you MUST submit a syllabus for review by the October 2nd deadline. This form must be completed and e-mailed or faxed by the deadline above to be included with your secondary application submitted *Term (FA=Fall, SP=Spring, SU=Summer, WI=Winter) online. Required Courses 1 Name of Institution Example: Any University Dept code & Course # CHE 201 Complete Course Title Organic Chemistry Term*/ Units Year FA06 4Q(S) Grade (or IP) A- In Prereq Database (Y or N) Y Organic Chemistry Select Organic Chemistry Lab (Only if lab not incl above) Select Biochemistry or Physiological 2,3 Chemistry Select Upper-Division Biological & 3,4 Life Science Select Upper-Division Biological & 3,4 Life Science Select Upper-Division Biological & 3,4 Life Science Select Upper Division Biological & 3 Life Science Lab (Only if lab not incl above) Select Microbiology Select 2,3 Upper-Division Physiology 2,3 Genetics/Molecular Biology 2,3 Select Select General Physics Select General Physics Select General Physics Lab (Only if lab not incl above) Select General Physics Lab (Only if lab not incl above) Select Statistics Select Name:_______________________________________________ Last First Middle Required Courses Name of Institution Dept code & Course # VMCAS ID:_______________________ Complete Course Title Term/ Year Units In Prereq Database (Y or N) Grade (or IP) English Composition I Select English Composition II Select Humanities/Social Sciences I Humanities/Social Sciences II Humanities/Social Sciences III Important Notes 1 All courses must be completed at an accredited college or university in the U.S. OR coursework completed outside the U.S. (including Canada) must be evaluated by; Joseph Silny and Associates (305-666-0233) OR World Education Services (212-966-6311); to be considered. All courses must be completed with a grade of “C” or higher (“C-“or lower is not acceptable). One course cannot be used to satisfy more than one prerequisite. 2 Should be a course designed or specified for science majors. 3 While not specifically required, courses in anatomy, nutrition, and embryology are strongly encouraged. 4 All except two of these courses must be completed by December 31st of the year immediately prior to matriculation at WesternU-CVM (i.e. December 31, 2014 for matriculation in fall 2015). REMINDER: Syllabi must be submitted and received by the October 2, 2014 deadline for all courses listed to satisfy the prerequisites and not currently listed in the prerequisite database. *Form is to be e-mailed to [email protected] or faxed to (909) 469-8601* Do not send directly to Office of Admissions. PRINT FORM & SUBMIT BY EMAIL OR FAX