PTCAS Personal Information
This section is used to gather your biographic and contact information, as well as citizenship, race/ethnicity, and other information.
PTCAS Release Statement
Review and confirm your agreement with PTCAS's release statement(s).
Biographic Information
Provide information about your name(s), sex, and date and place of birth.
Contact Information
Provide the address, phone number, and email you want PTCAS and your program(s) to use to contact you.
Citizenship Information
Provide information about your US citizenship status, including country of citizenship, legal state of residence, and visa details and status.
Race & Ethnicity
Provide optional information about your race and ethnicity (to be used for statistical purposes only).
Parent/Guardian
Provide your parent(s) or guardian(s) demographic information.
Economic/Educational/Environmental Factors
Provide information about environmental factors that you'd like PTCAS to consider, such as your childhood residency, disadvantaged consideration, family situation, and high school information.
Other Information
Provide additional information, such as language(s) spoken, military status, infractions, etc.