Get Unm Empa Residency Application Form

Filling out the UNM EMPA Residency Application Form online is a straightforward process that requires careful attention to detail. This guide provides a step-by-step approach to ensure that you complete the application accurately and efficiently.

Follow the steps to complete the application form successfully.

1. Press the ‘Get Form’ button to access the application form and open it in the online editor.
2. Begin with the Personal Information section. Enter your name, including your last name, first name, and middle initial. Fill in your address, city, state, zip code, telephone number, and email address in the corresponding fields.
3. Next, move on to the Educational Information section. Input the name and address of your PA school, along with the month and year you graduated or anticipate graduating. Include details of your undergraduate college attended, degree received, and graduation date. If applicable, add information about any advanced degrees including the degree type and graduation date.
4. Indicate whether you are NCCPA certified by answering the question provided. If so, enter the date you were certified and your certificate number. Additionally, provide the date you were licensed and the license number. Ensure to indicate if you are licensed in New Mexico and if not, provide the date of your PANCE.
5. Complete the References section. If you are a recent graduate, include a reference from your program director or clinical coordinator, along with two references from preceptors, ideally in Emergency Medicine. If you are a practicing PA, you will need a reference from your current supervising physician. For each reference, input their name, title, address, city, email, state, zip code, and telephone number.
6. In the Other Needed Documentation section, ensure you prepare to include your Curriculum Vitae, which should list your educational GPA and rotations completed. Provide a one-page personal statement, and note the $35 application fee, which must be paid electronically.
7. Lastly, notice that additional materials like PA school transcripts and letters of reference must be mailed directly to the admissions committee by the specified deadline. Review the mailing address carefully to ensure all items are sent correctly.
8. After filling in all sections, save any changes you made. Depending on your needs, you may also download, print, or share the completed application form with others to finalize your submission process.

Take the first step toward your future by completing the UNM EMPA Residency Application Form online today!