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Application Form

The document is an application form for admission to DDT College of Medicine, requiring personal information, educational background, and health assessments from prospective students. It includes sections for ranking preferred programs, previous medical school applications, and an acknowledgment of the application process. Additionally, it contains essay prompts for applicants to express their motivations for pursuing a medical career and discuss the retention of medical professionals in Botswana.
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0% found this document useful (0 votes)
19 views4 pages

Application Form

The document is an application form for admission to DDT College of Medicine, requiring personal information, educational background, and health assessments from prospective students. It includes sections for ranking preferred programs, previous medical school applications, and an acknowledgment of the application process. Additionally, it contains essay prompts for applicants to express their motivations for pursuing a medical career and discuss the retention of medical professionals in Botswana.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

DDT COLLEGE OF MEDICINE

“Educating for Global Success”

APPLICATION FOR ADMISSION

SCHOOL YEAR_____________

NAME ___________________________ __________________________ _____________________________


(Please Print) LAST FIRST MIDDLE

Postal Address: _____________________________________________ ID NO.__________________ City


____________________________

Tel NO: _______________ Cellphone No.__________________ Date of Birth ________________ Place of Birth _______________________

Age__________ Gender____ __________Citizenship_________________ Marital Status__________


Religion__________________________

E-mail Add________________________________________

Father______________________________ Occupation_________________________ Phone_____________________________

Mother_________________________________ Occupation ________ Phone


___________________________________________

Guardian__________________________ Address____________________________ Phone____________________________________

High School_____________________________________ Year Graduated________________________________

College_______________________________________________________ Year Graduated________________________________

Pre-Med Course________________________________________________ Year Graduated________________________________

School Last Attended______________________________________ School Year ______________________________

What are your B/IGCSE Points? _______________

What is the highest level of education you reached? (e.g.BGCSE, IGSCE, A-levels, BSc year 1 etc.) ______________________
State the grades in the sciences you obtained at this highest level: Double Sciences_____ Chemistry___ Biology____ Physics____
Mathematics _________
What is the value of medical education to you? (Use additional sheet if necessary)

Who would fund your medical education?

How did you know of the DDT college of Medicine?

Which program are you applying for at DDT college of Medicine? Please rank 3 according to importance.
Bachelor of Doctors Assistance (BDA) Bachelor of Pharmacy (Pharm)
Others (please specify)
Bachelor of Medical Laboratory Science Bachelor of Physiotherapy (BPhysio)
(BMLS)
(1 = most important; 4 = least important)
Have you applied to other medical school(s)?
[ * ] No [ ] Yes____________________________________________
________________________________________________
School Status of Application
Have you ever been enrolled in other medical school(s)?
[ * ] No [ ] Yes___________________________________________ ________________________________________________
School Date/School Year

IF FOREIGN APPLICANT: Country ___________________________ Passport No___________________________________________

IMPORTANT: The application for admission does not mean automatic acceptance to the College of Medicine.

I certify to the veracity of the above information, any evidence of fraud in the credentials/documents submitted will automatically
nullify my enrollment in the College of Medicine.

Name.___ ____________ _____________ _________________


Signature of Applicant
I certify further that if accepted, I will abide by all the rules and regulations of the College.

Plot: 1339-41 BBS Mall, P. Box 70587 UB Gaborone, Botswana, Tel No. 390 4925 Cell: 771 00000
E-mail: [email protected] or [email protected] Website: www. ddtcollegeofmedicine.com
ADMISSIONS - AD20172

DDT COLLEGE OF MEDICINE

PROSPECTIVE STUDENT RPL ASSESSMENT, ESSAY WRITING AND FEEDBACK (DDTCOM PSAF)

Dear Prospective Student,

We would like to thank you for having participated well in this assessment and essay writing. The
College would be most grateful if you could complete this RPL (Recognition of Prior Learning)
assessment, essay writing and feedback form.

I. PROSPECTIVE STUDENT ASSESSMENT AND


FEEDBACK Circle correctly.

1. Have you been hospitalized before with a long illness?


Yes No
If, yes! Briefly explain:
______________________________________________________________________________________
______________________________________________________________________________________
2. Do you have any other health issues that you do need the College to be aware of?
Yes No
If, yes! Briefly explain:
______________________________________________________________________________________
______________________________________________________________________________________
When it comes to technology, are you conversant with the basics of using a computer or a
3. laptop?
Yes No
4. Can you communicate well in English?
Yes No
If, No! Mention where you need help with the language.
______________________________________________________________________________________
______________________________________________________________________________________

5. Do you stay with parents/guardian or alone?


______________________________________________________________________________________
6. Do you have accomodation in Gaborone you can access/use once admitted by the College?
Yes No

Form AD20172 Page 1 of 3


DDT College of Medicine INTERVIEW ESSAY 2017

Instruction to Applicants: There are 2 essays, you are to answer both:

II. ESSAY 1

Explain what led you to pursue being a medical professional and discuss the attributes that make you the ideal
candidate for the rigor of DDT College of medicine education. Write this essay below.

Note: Essay has to be on only one page. Good Luck.

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Form AD20172 Page 2 of 3


III. ESSAY 2

There is efflux of medical professionals from Botswana to places all over the world. Discuss if this is acceptable or not and explain
how retention of locally trained DDTCOM medical graduates from Botswana can be achieved in a world scrambling for them?
Write this essay below.

_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

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Form AD20172 Page 3 of 3

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