Inquiry Request Form

*Country

*State

*Province

*Date of Graduation from Undergraduate Institution (indicate future date if applicable)

*Anticipated Start Year

Western Atlantic University School of Medicine (WAUSM) may communicate with me about information that is relevant to my application, key deadlines, invitations to events, and other important information that may be useful to the application process. By submitting this form, I agree to receive WAUSM communications, which may include email, phone calls, and text messaging, and that I can opt-out of receiving these communications at any time.