Qualtrics Survey | Qualtrics Experience Management

What is your name?

What is your date of birth?

Have you been admitted to UAB?

What is your BlazerID?

What high school do you attend?

What is your high school GPA?

What are your ACT/SAT scores?

List your previous AP coursework

List your current AP coursework

List your dual enrollment coursework

List your extra-curricular activities

List your shadowing experience

List your honors and awards

Student Essay
Describe the background/experiences you have and the future goals you hope to attain that may make you uniquely qualified to be a future optometrist.

Short Answer
Describe a fulfilling or challenging community service experience and how you grew personally from the experience.

List your references