× Note: Thank you for joining our Outreach Communications List! We look forward to connecting with you! × × First Name* Last Name* Email Address* Please use a personal email address that will be maintained now through medical school application. Your email address will be used for every event registration and information update for the KU School of Medicine. Phone Number* Date of Birth example: 01/01/2000 AMCAS ID (if applicable) College (high school students should leave this section blank) College Graduation Year (high school students should leave this section blank) Select one:2030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006 High School High School Graduation Year* Select one:2030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006 Are you a Kansas Resident?* Please select one: YesNo Does one of the following Kansas Ties apply to you?* I currently reside and work in Kansas.I have a parent currently residing in Kansas.I am or will be a graduate of a Kansas high school.I am or will be a graduate of a Kansas four-year college.I have a parent who is a graduate of the KU School of MedicineI have a parent who is a member of the faculty of the KU School of Medicine. Please select one: YesNo City of Permanent Residence* State of Permanent Residence* County of Permanent Residence Submit