Committee on Academic & Professional Standards
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE

I have read and understand the Student Code of Academic and Professional Integrity for the MD Degree Program. I pledge to adhere to the Student Code of Academic and Professional Integrity for the M.D. Degree Program.

Signature:	_________________________________________________
Name (printed):	_________________________________________________
Date:	_________________________________________________

I have read and agree to abide by the Policy on Academic and Professional Standards Governing the MD Degree Program adopted by the faculty of the WVU School of Medicine.

Signature:	_________________________________________________
Name (printed):	_________________________________________________
Date:	_________________________________________________

I have read and agree to review annually the FERPA notification published by the WVU School of Medicine on its website.

Signature:	_________________________________________________
Name (printed):	_________________________________________________
Date:	_________________________________________________

I have read the WVU School of Medicine Technical Standards for Admission.
Having completed my review of these technical standards, I certify that I can meet them all in order to complete the MD degree curriculum requirements.

Signature:	_________________________________________________
Name (printed):	_________________________________________________
Date:	_________________________________________________

 

Please return this sheet to:

Office of Student Services
WVU School of Medicine
P.O. Box 9111
Morgantown, WV 26506-9111