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SOM Acceptance Form

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  1. Carefully read, certify and submit the following forms within 15 days:

    Statement of Acceptance
    Criminal Background Check
    Technical Standards
    White Coat Ceremony
  2. Your acceptance is conditional; the Admissions Committee may rescind an offer of acceptance at any time before matriculation if an applicant fails to maintain expectations upon which the acceptance was based. Examples include, but are not limited to, a significant decline in academic performance, failure to complete medical school prerequisites or other course work and degrees in progress, failure to complete and return forms sent to you by the Division of Student Services and Records, unprofessional behavior and incidents contained in a criminal background check.
  3. Promptly supply Student Records and Registrar, which is the Registrar's Office, with an official transcript at the end of each school term (semester or quarter), including one that shows any degree listed as in progress on your AMCAS application has been awarded.
  4. All changes in postal or email address and telephone number(s) must be submitted as changes to your preferred address in the AMCAS® application; however, once this is done, notify Student Records and Registrar and the Admissions office.
  5. Certification Statement - By typing "Certified by Applicant" on subsequent forms, an applicant certifies that he/she has read, understands and agrees to comply with instructions and terms described therein and that the information submitted on these forms are current, complete and accurate to the best of his/her knowledge.


To the Admissions Committee of the University of Mississippi's School of Medicine:

I hereby accept the position offered me in the freshman medical class that will enroll in next August.

I understand that my acceptance is conditional and that the Admissions Committee may review and rescind an offer of acceptance at any time before matriculation if I fail to maintain expectations upon which the acceptance was based. Examples include, but are not limited to, a significant decline in academic performance, failure to complete medical school prerequisites or other course work and degrees in progress, failure to complete and return forms sent to me by the Division Student Services and Records, unprofessional behavior and incidents contained in a criminal background check.

My acceptance signals my intention at this time to enroll. It does not preclude me from considering offers from other medical schools; however, I agree not to hold multiple acceptances beyond May 15.

I also understand that if I am offered and accept a scholarship, this also does not preclude me from considering offers from other medical schools.

I must comply with all instructions and directions sent to me; failure to do so will subject my position in the freshman medical class to review and possible cancellation.

Enter "Certified by Applicant"* 


Acceptance to the University of Mississippi's School of Medicine is conditional and contingent on an applicant having an acceptable CBC. To accomplish this, all accepted applicants must undergo the two CBCs summarized below and report any subsequent convictions. For further details, see our CBC information page.

AAMC-Facilitated CBC

All accepted applicants to the SOM first undergo a centralized Association of American Medical Colleges (AAMC)-facilitated CBC.

Certiphi Screening, Inc. a Vertical Screen® Company, will conduct a CBC based on inspection of local, state and national records. Upon initial acceptance to this or any other participating medical school, applicants will be provided access electronic access to consent that will give permission to initiate the CBC.

When the Certiphi CBC is complete, accepted applicants will be given 10 calendar days to review the report on a secure website. Applicants may release reports immediately or contest inaccuracies prior to releasing it to the requesting medical school. If the applicant does not respond within 10 calendar days, the report will be released automatically.

Fingerprint-Based CBC

Effective July 1, 2004, Section 37-29-232 of the Mississippi Code requires that students enrolled in a health care professional academic program undergo fingerprint-based CBC before any clinical rotation in a licensed health care facility may occur.

All accepted applicants must call the SOM admissions office to schedule an appointment with UMMC Human Resources sometime between December 1 and June 1 prior to enrollment so that a set of digital fingerprints and photograph can be acquired.

Fingerprints will be submitted to the Mississippi Public Safety Commission and Department of Justice Federal Bureau of Investigation for a criminal background check. If any potentially disqualifying event is reported, Human Resources will mail to the medical school applicant a letter (such as Determination of Non-Suitability for Employment in a Healthcare Facility) indicating that a potentially disqualifying event(s) has been reported and a copy of the criminal history report record. Copies will be sent to the associate dean for medical school admissions.

If a criminal history exists, an accepted applicant may not matriculate in medical school until the following process has been completed. The associate dean for medical school admissions will mail the applicant a registered letter indicating that he/she may provide a written explanation for listed offenses including mitigating circumstances and planned appeals of inaccurate information and documentation supporting adjudications and subsequent actions (such as rehabilitation) taken since the offense and any other information that may assist the SOM in determining whether or not the potentially disqualifying event should affect an admissions decision.

Steps involved in evaluating a criminal background history are described in the School of Medicine Procedures for Criminal Background Checks.

If any incidents are reported by either CBC component, the associate dean for medical school admissions will summarize all reported incidents and present this information, along with information regarding any misdemeanor, felony, or institutional action reported by you on the AMCAS application, to the School of Medicine's Dean's Council for consideration. All documents submitted, including the accuracy of information provided by you in AMCAS materials, will be considered on a case-by-case basis and a recommendation, based on the seriousness and/or pattern of reported incidents, will be made to the dean as to what impact this information might have with regard to medical school admission.

Subsequent Convictions

Applicants are responsible for notifying the associate dean for medical school admissions if any further criminal action occurs subsequent to submitting an AMCAS® application or the conduct of CBCs described above. This includes the following: if you are convicted of, or plead guilty or no contest to, any misdemeanor or felony crime(s) after the date of your submission of the medical school application and prior to your medical school matriculation. Your communication must be in writing, and must occur within 30 days of the occurrence of the criminal action.

I have read and understand this CBC policy and agree to report to the associate dean for medical school admissions any further criminal incident(s) that may occur between the time when a CBC is conducted and my enrollment in medical school.

Enter "Certified by Applicant"* 


Because the M.D. degree awarded to a senior medical student signifies that the holder is prepared for entry into the practice of medicine within postgraduate training programs, it follows that graduates must have the knowledge and skills to function in a broad variety of clinical situations and to render a wide spectrum of patient care. If they are to function in this manner, medical students must have somatic sensation and the functional use of the senses of vision and hearing, and equilibrium. They must have sufficient exteroceptive sense (touch, pain and temperature), sufficient proprioceptive sense (position, pressure, movement, stereognosis and vibratory) and sufficient motor function to perform the activities described in the sections that follow. Students also must be able to consistently, quickly, and accurately integrate all information received by whatever sense(s) and have the intellectual ability to learn, integrate, analyze and synthesize data, and the appropriate behavioral and social skills for patient interaction.

Observation - The medical student must be able to observe and participate in demonstrations and experiment in the basic sciences, including, but not limited to, physiologic and pharmacologic demonstrations in animals, microbiologic cultures, and microscopic studies of microorganisms and tissues in normal and pathologic states, and anatomical specimens. The student must be able to observe a patient accurately at a distance and close at hand. Observation necessitates the functional use of the senses of vision, hearing, and somatic sensation. It is enhanced by the functional use of the sense of smell.

Communication - A medical student should be able to speak, to hear, and to observe patients in a sensitive manner. A medical student should be able to elicit information, describe changes in the patient's mood; activity and posture, and perceive nonverbal communications. The student also must be able to communicate effectively in oral and written form with all members of the health care team.

Motor - Students should have sufficient motor function to obtain information from patients by palpation, auscultation, percussion and other diagnostic maneuvers; to do basic laboratory tests; to carry out diagnostic procedures; to read electrocardiograms and radiographs; and to conduct anatomical dissections in the basic sciences and clinical years. A student should be able to execute the motor movements reasonably required to provide general and emergency care to patients. Examples of emergency treatment reasonably required of physicians are cardiopulmonary resuscitation, administration of intravenous medication, application of pressure to stop bleeding, opening of obstructed airways, suturing of simple wounds and performance of simple obstetrical maneuvers. Such actions require coordination of both gross and fine muscular movements, equilibrium and functional use of the senses of touch and vision.

Intellectual-Conceptual, Integrative, and Quantitative Abilities - These abilities include measurement, calculation, reasoning, analysis, and synthesis. Problem solving, the critical skill demanded of physicians, requires all of these intellectual abilities. In addition, the student must be able to comprehend three-dimensional relationships and to understand the spatial relationships of structures.

Behavioral and Social Attributes - A student must possess the emotional health required to fully use his or her intellectual abilities; to exercise good judgment; to promptly complete the responsibilities attendant to the diagnosis and care of patients; and to develop mature, sensitive and appropriate relationships with patients. Students must be able to tolerate physically taxing workloads and to function effectively under stress. They must be flexible and able to adapt to changing environments, and capable of functioning in the face of uncertainties inherent in the clinical problems of many patients.

I have read and understand the above Technical Standards.

Enter "Certified by Applicant"* 


The University of Mississippi Medical Center is committed to ensuring equal access to a quality education for qualified students through the provision of reasonable academic accommodations which support UMMC standards and academic integrity. UMMC policy provides for reasonable academic accommodations to be made for students with verified disabilities on an individualized and flexible basis as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990(ADA).

UMMC provides reasonable academic accommodations to students on campus who request accommodations and who meet eligibility criteria. For more information or to request academic accommodations, individuals should go to the Office of Academic Support webpage and complete the Request Academic Accommodations online form.

Office of Academic Support
University of Mississippi Medical Center
Verner Holmes Learning Resource Center, U155-A
(601) 815-4233
Fax: (601) 815-5828

I have read and understand the above Academic Accommodations.

Enter "Certified by Applicant"* 


1. Complete Legal Name (Your complete legal name is what appears on your birth certificate or other official document.)* 
2. Preferred Name (You should only show what you go by or what people call you.)* 

3. Indicate your coat size or dress size, as appropriate, below:

Coat Size:
Use numeric size indicating Short, Regular or Long (i.e., 44S, 44R, 46L)
Dress Size:
Use numeric size (i.e., 2, 6,..16)
Enter "Certified by Applicant"*