Residency Manual

Appendix R:

Incoming Residents’ Information Residency Program: ________________________

Gender (M/F) Date Of Birth

NYS Resident ( Y or N)

Is this a Non-US Resident* (Y or N)

Is this person Authorized to work in US (Y or N)

GPA NBEO I NBEO II NBEO III TMOD Optometry School

Program Resident Name Permanent Address

E mail Address Phone #

*Non-US resident are Canidian, Chinese, etc students on Visa

Applicant Data for Residency Position(s)

Optometry School GPA National Board Scores

National Board Scores

National Board Scores

if not 4th Yr student

then # of yrs since graduation GPA GPA GPA Part 1 Part 1 Part 1 Part 2 Part 2 Part 2 TMOD TMOD TMOD

# of applicant who are current 4th Yr students

Total # of Age

Age Age

Program Name Applicants Range

Mean

Median

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 Resident Applicants:

# of Non-US Resident Applicants who attended American optometry schools: # of Non-US Resident 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 at Ketchum Southern College of Optometry State University of New York College of Optometry The Ohio State University 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 University of Pikeville - Kentucky College of Optometry Chicago College of Optometry-Midwestern University Updated July 2023

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