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Form D: Statement of Educational Opportunity

Note to applicants applying for entry in fall 2011

If you are applying for entry in fall 2011, you may review the information below for informational purposes only, but do not use these forms for your application. If you do, you might be ineligible to be considered for admission. Fall 2011 Supplemental Application forms are expected to be available in July 2010.

This form is optional.

About Form D

We believe that students of diverse backgrounds will positively contribute to the intellectual, social, and cultural enrichment of the School's academic programs and student body. Although not required, Form D provides you with the opportunity to tell us how you may have overcome economic, social, cultural, or educational barriers while pursuing your academic goals.

Form D

Form D: Statement of Educational Opportunity
PDF, 2 pages, 486 KB
Requires Adobe Reader.

Instructions for Completing Form D

  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. You do not have to answer all of the questions on this form. If you choose to submit Form D, answer only those questions that apply to you.
  5. Each response is limited to the space provided using the font and size we have set. Only plain text is permitted -- no italics, bold, or underlining is permitted. You may not extend your response by attaching additional sheets of paper -- you must use only the space provided.

More on this topic in our admissions director's blog

Reports from the Pharm Although not required reading, you'll find additional comments in The D Section, a blog post by Admissions Director Joel W. Gonzales.

Problems? Questions?

See Supplemental Application Help.

Next Form: Application Fee Payment Form

Shortcut to This Page

To reach this page quickly or share it with others, use pharmacy.ucsf.edu/go/supp/form/d, which redirects to a longer URL.

Go To: Supplemental Application Forms or Supplemental Application