This is not an electronic application. This is a request for application only.
After completing this form, you will be directed to secure online payment collection of the application fee. The non-refundable domestic application fee is $25.
When your payment is processed, an official application will be sent to you at the email address you provide here.
To ensure you receive the application and all communications from UPSOM Student Affairs, add '@medschool.pitt.edu' and '@pitt.edu' to your trusted senders list. (If you use Gmail, add us to your Contacts)
Please visit the UPSOM Office of Student Affairs' Visiting Student Program webpage for information about the application process and requirements:
Any questions should be sent to: email@example.com.
Due to the high volume of applicants, NO PHONE CALLS, PLEASE.