This required item for Mercer University's PA Program application is due by the deadline date of the cycle for which you are applying and will not be accepted after that date.

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* 1. Full Name (First and Last please)

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* 2. CASPA ID#

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* 3. Preferred Phone #

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* 4. Preferred Email

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* 5. Have you been convicted of any violation of law?

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* 6. If yes, conviction explanation:

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* 7. Have you previously applied to Mercer's PA Program?

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* 8. If yes, INCLUDING THIS CYCLE, how many times have you applied?

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* 9. How do you envision taking ownership of your learning in PA school, and how will this mindset contribute to your overall academic and professional success? (Limit your essay to 750 words.)

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* 10. Is there any additional information that you would like the Admissions Committee to consider?

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* 11. I, _______________ (please initial in the text box), certify that the information presented in the supplemental application is my own work, factually correct, and honestly provided.

Remember to submit your supplemental application fee of $25 via the following link: 

https://mercer.nbsstore.net/college-of-health-professions-supplemental-application-physician-assistant-program 

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