Page 1 of 4

PMC Premed Strategy Session Intake

Welcome to your PMC Strategy Session.

Please complete this form personally, even if a parent or someone else purchased your session. This information is vital for your advisor to prepare effectively. Note that completing this form does not guarantee admission to medical school.

Let's get started.

Applicant Name

*

Email Address

*

Time Zone

*

Email used at SureCart checkout

*

Was this session purchased by someone else?

*

A

Yes

B

No

Payer Name

*

Payer Email

*

Would you like this person involved in meetings or receive deliverables?

*

A

Yes, include them in all communications

B

No, please keep this private