I got my first invitation for a secondary application from GW!
Different medical schools handle the secondary application phase in different ways. Some schools, like GW, offer a secondary application to everyone who applied during the primary phase. Other schools like UCSD use the primary application to weed out applicants, selecting based on GPA or MCAT scores.
Also, some schools require numerous essays specific for that school, while other schools only ask for minimal or short essays, or no essay at all.
GW asked me to write the following essay, restricted to just 10 lines: "What is your specific interest in the MD Program at GW? What opportunities would you take advantage of as a student here?"
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