Residency Manual

Appendix R:

Incoming Residents’ Information Residency Program: ________________________

Program Resident Name Permanent Address E mail Address Phone # Gender Age NYS Resident Y/N Non-US Resident* Y/N Authorized to work in US Y/N

GPA NEBO I NEBO II NEBO III TMOD Optometry School

*Non-US resident - Canidian, Chinese, etc

Applicant Data for Residency Position(s)

Optometry School GPA National Board Scores

National Board Scores

National Board Scores

Total # of Age

Age Age

# of 4th Yr # Practicing GPA

GPA GPA Part 1 Part 1 Part 1 Part 2 Part 2 Part 2 TMOD TMOD TMOD

Program Name Applicants Range

Mean

Median

Students

Yr Out of School Range

Mean Median Range

Mean

Median Range

Mean

Median

Range

Mean

Median

Name of Optometry School Illinois College of Optometry

# of Applicants

Total # of Non-US Applicants:

# of Non-US Applicants who attended American optometry schools: # of Non-US Applicants who attended optometry schools outside of the U S:

Indiana University School of Optometry

InterAmerican University of Puerto Rico School of Optometry Massachusetts College of Pharmacy & Health Sciences Michigan College of Optometry at Ferris State University Midwestern University Arizona College of Optometry New England College of Optometry Northeastern State University Oklahoma College of Optometry Nova Southeastern University College of Optometry Pacific University College of Optometry Pennsylvania College of Optometry at Salus University Southern California College of Optometry Southern College of Optometry University of Alabama at Birmingham School of Optometry University of California Berkeley School of Optometry University of Houston College of Optometry University of Missouri at St Louis College of Optometry University of the Incarnate Word Rosenberg School of Optometry University of Waterloo School or Optometry Universite de Montreal Western University of Health Sciences School of Optometry State University of New York College of Optometry The Ohio State University College of Optometry

Updated July 2017

66