Dual Acceptance Program (DAP) ApplicationLoading...Welcome to the online application for the Midwestern University Dual Acceptance Program (DAP). Prior to applying, please review the program enrollment options and eligibility requirements:College of PharmacyChicago College of OptometryArizona College of OptometryPersonal InformationNameFirstMiddleLastSuffixJr.Sr.IIIIIIIVVPreferred FirstContact DetailsMobileEmail AddressPermanent AddressCountryStreetCityRegionPostal CodeBiographical InformationGenderDecline to StateFemaleMaleBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930312026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Citizenship InformationPrimary CitizenshipAfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius, and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos Islands (Keeling Islands)ColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCoral Sea IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFederated States of MicronesiaFijiFinlandForeign/UnknownFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambia, TheGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R.HungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan MayenJapanJerseyJordanJuan De Nova IslandKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau S.A.R.Macedonia, Republic of NorthMadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle ofMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalau, the Pacific Islands ofPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and Futuna IslandsWestern SaharaYemenZambiaZimbabweOptional Race and Ethnicity InformationColleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and news organizations, to describe the racial and ethnic backgrounds of their students. Providing this information is voluntary. Your responses are used only for reporting and statistical purposes and will not be considered in the admissions process. You may choose to skip these questions.Are you Hispanic or Latino? The term Hispanic or Latino or Spanish Origin is defined as a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.Are you Hispanic or Latino? The term Hispanic or Latino or Spanish Origin is defined as a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.YesNoRegardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Pacific IslanderWhiteFamily InformationParent 1First NameLast NameOccupation or TitleHighest Level of EducationHigh School DiplomaAssociate DegreeBachelor of ArtsBachelor of ScienceMaster of Arts (MA)Master of Business Administration (MBA)Doctor of Philosophy (PhD)Parent TypeFatherLegal GuardianMotherStep-FatherStep-MotherParent 2First NameLast NameOccupation or TitleHighest Level of EducationHigh School DiplomaAssociate DegreeBachelor of ArtsBachelor of ScienceMaster of Arts (MA)Master of Business Administration (MBA)Doctor of Philosophy (PhD)Parent TypeFatherLegal GuardianMotherStep-FatherStep-MotherAcademic InformationSelect the program to which you are applying for dual acceptance:Doctor of Optometry - Downers GroveDoctor of Pharmacy - Downers GroveDoctor of Optometry - GlendaleDoctor of Pharmacy - GlendaleDual Acceptance TrackDual Acceptance TrackTrack 1 (High School Seniors Only)Track 2 (First-year College Freshmen Only)Track 1 Decision PeriodTrack 1 Decision PeriodEarly Application (Deadline November 1)Regular Decision (Deadline February 15)Affiliate SchoolsPlease select all the affiliate schools to which you will apply. After being admitted to the Program, you will then commit to attending one affiliate school.I have applied/will apply to these affiliate schools:Affiliate SchoolsPlease select all the affiliate schools to which you will apply. After being admitted to the Program, you will then commit to attending one affiliate school.I have applied/will apply to these affiliate schools:Arizona Christian UniversityArizona State UniversityBenedictine UniversityCollege of DuPageDePaul UniversityDominican UniversityElmhurst UniversityHebrew Theological CollegeIllinois Institute of TechnologyLake Forest CollegeLewis UniversityLoyola University - ChicagoMaricopa County Community CollegeMoraine Valley Community CollegePrairie State CollegeRockford UniversityUniversity of Saint Francis - Fort Wayne, INUniversity of Wisconsin - MilwaukeeHigh School InformationList the high school that you currently attend, or from which you graduated.Official transcripts must be received by your application deadline date. If you attended more than one high school, please enter an additional school below.School NameSchool CEEB CodeDo you wish to add another high school record to your application?Do you wish to add another high school record to your application?YesNoSchool NameSchool CEEB CodePharmacy Short-Answer QuestionsWhat excites you about pursuing a career in pharmacy?*Tell us about your two most significant employment experiences. Please include name of employer, city/state, start date, end date (if no longer there), and position title.*Tell us about your two most significant and/or healthcare-related extra-curricular activities. Please include organization name, description of role/activity, and dates.*Test Score InformationDual Acceptance applicants are required to submit a score for either an ACT or SAT. Please self-report your unofficial test score(s) or indicate your plans for taking any future exams in the fields below. You may enter one or more records as needed. Official test scores must be received in the Office of Admissions by your deadline date. For ACT, send test scores to school code 4609. For SAT, use school code 3792.Please select which exam(s) you will send as part of your application:ACTSATACT TestEnglishMathReadingScience ReasoningComposite ScoreSAT TestEvidence-based Reading and WritingMathTotal ScoreResume or CVPlease upload your resume that includes the following information as applicable: Any employment or volunteer experiences in health care Any additional employment experiences High School extracurricular activities, honors, and leadership responsibilities Community activities, honors, and leadership responsibilities Please upload your resume in a PDF or Word format.Personal Statement Please upload your responses to the following questions. Questions 1 & 5 are required. Pick one question from questions 2-4. Please limit your response to one page per question. Required: Please explain why you are interested in a career in the program you have selected above. Pick one from questions 2-4: "That which does no kill us makes us stronger." - Friedrich Nietzsche. Describe a time when you encountered an obstacle or challenge. How did you handle it and what did you learn from the experience? Not all beliefs are set in stone. Describe a time you questioned a belief or idea that you had previously taken as truth. What made you doubt this belief and what conclusion did you draw? Describe an event that spurred you to make a positive change in your life and altered your understanding of yourself or others. What prompted this change and how did it affect you? Required: What are your plans if you are not accepted into the Midwestern's Dual Acceptance Program? Please upload your responses in PDF or Word format.ReferencesRecommender 1 Please indicate Full Name, Email Address, Phone, and Relationship to you Recommender 2 Please indicate Full Name, Email Address, Phone, and Relationship to you Recommender 3 Please indicate Full Name, Email Address, Phone, and Relationship to you Arizona State University Proof of AdmissionOfficial proof of admission must be received by the MWU Admissions Office by the deadline date. Additional InformationHave you ever participated in the MWU Careers in Pharmacy or PharmAcademy Summer program?Have you ever participated in the MWU Careers in Pharmacy or PharmAcademy Summer program?YesNoWhat year did you attend?Are you related to any MWU Alumnus or Employee?Are you related to any MWU Alumnus or Employee?YesNoPlease provide their full name, and their relation to you:Were you ever the recipient of any action for unacceptable academic performance (e.g. academic probation, dismissal, suspension, disqualification, etc.) or were you ever the recipient of any action for conduct violations (e.g. probation, suspension, dismissal, etc.) by any school or college?Were you ever the recipient of any action for unacceptable academic performance (e.g. academic probation, dismissal, suspension, disqualification, etc.) or were you ever the recipient of any action for conduct violations (e.g. probation, suspension, dismissal, etc.) by any school or college?YesNoPlease explain:Have you ever been convicted of a misdemeanor or felony (excluding parking violations)?Have you ever been convicted of a misdemeanor or felony (excluding parking violations)?YesNoPlease explain:How did you find out about Midwestern University? Check all that ApplyHow did you find out about Midwestern University? Check all that ApplyPersonal referralProfessional ConferenceCampus VisitWebsiteInternet SearchMidwestern AdEmail from MidwesternLive nearbyReputationDon't RecallOtherYou selected "Professional Conference." Which one?Which Website?Where did you see the Midwestern Ad?OtherIIT Materials UploadsDAP CCOM ApplicationTranscript (Official)Recommendation Letter 1Recommendation Letter 2Recommendation Letter 3ACT or SAT Test ScoreApplication AcknowledgementBy signing your name and submitting this form, you authorize Midwestern University to collect, use, and share the information provided in this application for the purpose of admissions review. You understand that no additional application fee will be charged for this submission. You acknowledge that you are responsible for meeting all applicable admissions requirements and for submitting all required responses and materials by the stated deadline. Only complete submissions received by the Office of Admissions by the applicable deadline will be reviewed.Sign HereClick to Sign...Set Program: Doctor of Osteopathic Medicine - Downers Grove (Internal Form Submission)Hidden FieldDoctor of Dental Medicine - Downers GroveDoctor of Dental Medicine - GlendaleDoctor of Nurse Anesthesia PracticeDoctor of Nurse Anesthesia Practice CompletionDoctor of Nursing PracticeDoctor of Occupational Therapy - Downers GroveDoctor of Optometry - Downers GroveDoctor of Optometry - GlendaleDoctor of Osteopathic Medicine - Downers GroveDoctor of Osteopathic Medicine - GlendaleDoctor of Pharmacy - Downers GroveDoctor of Pharmacy - GlendaleDoctor of Physical Therapy - Downers GroveDoctor of Physical Therapy - GlendaleDoctor of Podiatric MedicineDoctor of Psychology - Downers GroveDoctor of Psychology - GlendaleDoctor of Veterinary MedicineMaster of Arts in Biomedical Sciences - Downers GroveMaster of Arts in Biomedical Sciences - GlendaleMaster of Arts in Medical SciencesMaster of Biomedical Sciences - Downers GroveMaster of Biomedical Sciences - GlendaleMaster of Medical Science in Physician Assistant Studies - Downers GroveMaster of Medical Science in Physician Assistant Studies - GlendaleMaster of Occupational Therapy - GlendaleMaster of Public Health - GlendaleMaster of Science in Cardiovascular Science-Perfusion - GlendaleMaster of Science in Nursing- Adult-GerontologyMaster of Science in Nursing- Leadership in Global HealthMaster of Science in Precision Medicine - GlendaleMaster of Science in Speech-Language Pathology - Downers GroveMaster of Science in Speech-Language Pathology - GlendalePost-Graduate Certificate in Precision Medicine- GlendalePost-Master's Certificate/Adult-Gerontology Primary Care Nurse Practioner Track (Certificate)Set Round: AACOMASHidden FieldAACOMASAACPMASAADSASAHCASArchived AACOMASArchived AACPMASArchived AADSASArchived CASPAArchived CSDCASArchived NursingCASArchived OptomCASArchived OTCASArchived PHARMCASArchived PostBacCasArchived PSYCASArchived PTCASArchived Slate ApplicationArchived VMCASCASPACSDCASMWUNursingCASOptomCASOTCASPHARMCASPostBacCasPSYCASPTCASVMCASSet Round: OptomCASHidden FieldAACOMASAACPMASAADSASAHCASArchived AACOMASArchived AACPMASArchived AADSASArchived CASPAArchived CSDCASArchived NursingCASArchived OptomCASArchived OTCASArchived PHARMCASArchived PostBacCasArchived PSYCASArchived PTCASArchived Slate ApplicationArchived VMCASCASPACSDCASMWUNursingCASOptomCASOTCASPHARMCASPostBacCasPSYCASPTCASVMCASSet Round: PharmCASHidden FieldAACOMASAACPMASAADSASAHCASArchived AACOMASArchived AACPMASArchived AADSASArchived CASPAArchived CSDCASArchived NursingCASArchived OptomCASArchived OTCASArchived PHARMCASArchived PostBacCasArchived PSYCASArchived PTCASArchived Slate ApplicationArchived VMCASCASPACSDCASMWUNursingCASOptomCASOTCASPHARMCASPostBacCasPSYCASPTCASVMCASRound Always Create: YesHidden FieldRound Always Create: YesHidden FieldYesNoSubmitted Flag: YesHidden FieldSubmitted Flag: YesHidden FieldYesNoSubmit