Form A: Application Agreement

This form is required.

Form A: Application Agreement PDF, 1 page, 539 KB Requires Adobe Reader.

Instructions for Completing Form A

1. You must complete this form on a computer using Adobe Reader or Adobe Acrobat. If you're not familiar with these software products, see About Adobe Reader.

2. Download and Save Before Starting

   We recommend that you download and save the forms to your computer and complete them in Adobe Acrobat or Adobe Reader. If you instead view and complete the forms in your web browser, you might lose data you entered if you select a hyperlink which takes you to a different web page. Saving the forms to your computer and completing them in Adobe Acrobat or Adobe Reader prevents this problem.

   Saving the Information You Enter

   If you use the free Adobe Reader, be aware that Adobe Reader does not permit you to save the information you enter like Adobe Acrobat does. For details, see About Adobe Reader. If you don't have Adobe Acrobat and you don't want to purchase it, we recommend that you:

   1. Check what other resources available to you might have Adobe Acrobat: your public library, the computer lab at your school, nearby Internet cafés, your friends or family who are knowledgeable about computers. For example, work at Kinko's, saving your forms to your own USB drive.
   2. Or, complete each form only when you can do so in a single sitting where you have the ability to print. (You do not need to complete all the forms in a single sitting.)

   Adobe Acrobat is not required to complete our forms, and UCSF will not reimburse you for purchasing it.

3. Within Adobe Reader or Adobe Acrobat, you can make the form easier to read by using the zooming tools.

4. Answer all questions, confirm all statements by selecting their checkboxes, and sign where indicated.

Problems? Questions?

See Supplemental Application Help.

Next Form: Form B: Biographical Information

Go To: Supplemental Application Forms or Supplemental Application