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Page 2 text:
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CONFIDENTIAL REPORT BALTIMORE COLLEGE OF DENTAL SURGERY — DENTAL SCHOOL UNIVERSITY OF MARYUND AT BALTIMORE OFFICE OF RECRUITMENT AND ADMISSIONS BALTIMORE, MARYLAND 212C ' (301) 528-7472 DEPARTMENTAL EVALUATION FOR (Name — APPLICATION FOR ADMISSION — BALTIMORE COLLEGE OF DENTAL SURGERY — DENTAL SC UNIVERSITY OF MARYLAND AT BALTIMORE Office of Recruitment and Admissions TO BE COMPLETED ONLY IF THE SCHOOL HAS N( ggg , Baltimore Street, Baltimore, Maryland 21201 COMMITTEE FOR THE PURPOSE OF WRITING LETT BIOLOGY 1. Motivation Depth of Commitment 2. Maturity Personal Development 3. Emotional Stability 4. Interpersonal Relations Cooperation 5. Empathy Compassion 6. Resourcefulness Initiative 7. Reliability Responsibility 8. Verbal Written Communicat ion Skills 9. Judgement Analytical Ability 10. Perserverance My overall evaluation of this student ' s general qualifications for admission to dental school and the dental profession would be: Contact with student: CHEMISTRY Superior Gc PLEASE TYPE OR PRINT IN INK 1. Name First Permanent home address Middle Last UNIVEl Number and Street City Stat Length of time lived at this address years mont 3. Previous home address Number and Street City Stati Length of time lived at this address years mont OFFICE OF recruit: OOI I Present (temporary) address Number and Street City Stall If not U.S. citizen, list of what country expiration date of visa alien registration Sex Age Dale of birth Ethnic identification: ( ) American Indian Alaskan Nativ ( ) Hispanic { ) Asian Pacific Islander Educational Records: High School Attended Location Dear I would 11 ' Student Ad:: Remarks (physical handicap, manual dexterity, acuity, other person; List all colleges or universities in chronological order including sumn ip + tp School and state date of attendance 21 Yf-f - f possible to c I shall assum sideration an Date Title .. Signed i».»p7v Public par Please con;i APPLICANTS WILL NOT BE ADMITTED WITH tJNABS( 9. List your activities chronologically for the past two years. Give Interviews ar well as address of employer. If you have not been employed duri more Stree the interv; are genera; which last: School wii; You will a] School to 1 students ar to accompli Dental Schc : 10. Have you had any military experience? if yes, indicate 11. Have you filed a previous application at this school? CI; 12. Desired date of admission to dental school: September — 1 If you hav: meeting you CBL:brb .■ ' 5Si?;
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Page 3 text:
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APPLICATlOh FOR 5ALTIMORE COLLEGE OF DENTAL SURGERY DENTAL SCHOOL t OF MARYLANE T B 198G NTERING LA; TORI c BALTIMORE COLLEGE OF DENTAL SURGERY DENTAL SCHOOL UNIVERSITY OF M. LAND AT B November 2S, IS OFFICE OF RECRUITMENT AND ADMISSIONS (301 ) 528-7472 nvlte you to appear before s for an interview at the 666 WES ■ BALTIMOi February 1 I980 is date and. time by teleph If this appointment is not e it. , If you do not confl at you are withdrawing you e no longer interested in available in the Universl e enclosed map for its loc Id in Room 4-A-20 of Hayde ase bring a recent passpor h the understanding that i r members of the Subcommit ximately twenty-five minut ven by the dental student t with the Director of Stu tuition and fees, loans, g financial aid. You should rything concerned with you uestions, please contact m e time of the interview. Sine Char Assi and Dear I am very pleased to inform you that your application for admission to the Baltimore College of Dental Surgery, Dental School, University of Maryland at Baltimore has been approved. Please inform me in writing as soon as possible of your intention to accept or reject this offer of enrollment. Your acceptance must be received within thirty days, or the offer will be withdrawn. As an act of good faith, all those who accept our offer of enrollment for the 1980-81 entering class must submit with their acceptance a deposit which is not refundable. This deposit is $200.00 and will be credited to your tuition for the first semester. Please send your deposit by Registered Mail, Return Receipt. The Subcommittee on Dental Student Admissions reserves the right to withdraw the offer of enrollment at anytime prior to matriculation if you do not maintain the acceptable standards on which our offer was based Applicants who are currently enrolled in academic programs must success- fully complete all work satisfactorily prior to entrance in August, I90O and must have maintained an acceptable standing at all institutions attended. If you accept the offer of enrollment, it is necessary that you send me an off icial transcript of your grades from your undergraduate college(s) and, if applicable, graduate college(s) showing any degree (s) earned and the date(sj that they were awarded for all work completed through August Sincerely, Charles B. Leonard, Jr., Ph.D. Assistant Dean for Recruitment and Admissions )c CBL:brb
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