ࡱ> <>;  bjbjff .{k{k    %%%8]y%#(J#L#L#L#L#L#L#_%(L#L# 4a#J#J#V!@!P@! 6#w#0#!0(!d(!!&(""L#L#d#( : Application Form for the Bioethics & Professionalism Honors Program Please complete and e-mail to Evelyn Gonzalez, HYPERLINK "mailto:egonzalez9@luc.edu"egonzalez9@luc.edu December 1, 2026 Late forms will not be accepted. Name: Advisor: You will be assigned an advisor. However, if you have a preference, please indicate which you would prefer (we cannot guarantee all requests): Emily Anderson, PhD, MPH Lena Hatchett, PhD Michael McCarthy, PhD Kayhan Parsi, JD, PhD Katherine Wasson, PhD, MPH Eligibility: To be and remain eligible for the Honors Program, a student must remain in good academic standing the entirety of their first through third years in medical schooland uphold professional standards in keeping with those of the Stritch School of Medicine and Loyola University Chicago. For the purposes of this program, good academic standingmeans that a student has not failed a course during the first through third years of medical school or needed remediation in more than one clerkship. Note: If a student takes a Leave of Absence (LOA) while enrolled in the honors program, it is the responsibility of the student to contact the Director before the LOA and when they return. Email Evelyn Gonzalez, HYPERLINK "mailto:egonzalez9@luc.edu"egonzalez9@luc.edu. Statement of Purpose: Please write two paragraphs explaining your areas of interest and what you hope to accomplish by being part of the Honors Program. (After admission, you will be asked to paste this statement into your online portfolio).      4CDEMY_cdsuvŁyqiahB0hpd5h3hh5h3hhpd5hpdCJ aJ h3h hbw5 h5 h15 hc5hh,X0J h,Xh,Xh,Xjh,XUhhbwhK"hv_ h2?hxhE?NhK"5CJaJh2?hBBs5CJaJhE?NCJaJhE?NhBBsCJaJhgCJaJ&D gdygd90gd6c^gdB0 & FgdB0 & Fgd3hgdpd$a$gdpd$a$gdx  & & ' L   ߹{s{{{{{sjshh,X0Jjh,XUh,XhR'h6ch6ch6c>* h6ch6cDh6cB*CJOJQJ\aJeh@fHphq r@Jh6ch6cB*CJOJQJ\aJeh@fHphq r@ h6c>*hxhv_hg OhB0hK"hhA*)    /   ºhBBsh5Qjh5QUhr]h2?hpd5hE?Nhpd6hE?NhK"6hK" hpdhpdhA*hpdhpd5 h6ch6ch,X  gd90,1h/ =!"#$% x2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA`D Default Paragraph FontRiR  Table Normal4 l4a (k (No List *W * HStrong5\n\nH z-Top of Form$&dPa$ <B*CJOJQJ^JaJpht]tHz-Bottom of Form$$dNa$ <B*CJOJQJ^JaJph6U`!6  Hyperlink >*B*ph@2@ B0 List Paragraph ^Rv!AR 6c0Unresolved MentionB*ph`^\q PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vzt7.??Źڨd/L+[梃 _¯UjyA_/֖j-A %4\/%ި+K|h(Kmgk):b| H$Y 9DZ.6)A2&`RV!*_[`dI+^DL-)>qfoΟ~_'ҨrQrW_ƿw!pƦ7/_zqԵbp@m ?ItDl,(CjLQc׎O9!N@Iw{Xe3b|`:2˭A9Tn$ءy@Q&Q3,;sg8v%= CN4I ~> zHzw0u $J}*;(wL|$C޳q-!1,hEX>ZN yݾKt l&;HPm%6sq !&}] ~@Lw?%q d98@7C̜mia_Y㩓b8F vB{cNQqsu;6~@VƾzXU+f:OllD,E|=mVePاcGxe_+gj=HSԳ;{yи½|mHmA`0D_cU\+w/ 9MOJK:WnǯIUsffn`<"K*2:&w4]3۸cB/br;}̸uF̘G}ҙ3>-=k&ڂE%睸 |Te6pp1GZ&L~AdNPjĢP gFFz٫[ euRTVxC'c*ibQTz:"dC%1!4ZŲR?rՔ)Zf\5GμMO20V4'|:xt&Ԯiv +nD?TWq]_7.u)S 4?⦾@3;S,8;^K=7>̌cC ^$77&%Bn"cy@I K?L'CWc%WSc#^w}ܓ߭ei)$ Z`%v]:Blqwae&De*2JǐYG4OPQRlnຠtSi832IQ QrZ.afٽ\HYʚU6iaT&ly*o]M̹Qh2/woQoPSJŪ[lDY&`Riڊ0z۶ܫ/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!wG theme/theme/theme1.xmlPK-! ѐ'Q theme/theme/_rels/themeManager.xml.relsPK]L   Y     u XX@ @ 0(  B S  ?H0(    dsu  dsu xF 4}n%Ts*'$h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h^`56CJOJQJo(hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.F 4%Ts&        3_D<?>y}' 90""&R'`*B0xt4fD=2? C EE?Ng O5Q,Xr]mH^v_6cpdSftf6sBBsV7tht\uXvbwK.c2K)j3hT 1wvXA*_EH?, O[g?K"BaxgTNoM@ @UnknownG.[x Times New Roman5Symbol3& .[x ArialGinheritCambriaC. Aptos Display3. AptosA$BCambria Math"hcKgcKg  !r03Q@P ?BBs2!xxnz Registration Form .Bob JohnsonGonzalez, Evelyn   Oh+'0x  4 @ LX`hpRegistration Form.Bob JohnsonNormalGonzalez, Evelyn2Microsoft Office Word@~I@"@@"@ ՜.+,D՜.+,@ hp  LUHS  Registration Form Title 8@ _PID_HLINKSA {mailto:egonzalez9@luc.edu{mailto:egonzalez9@luc.edu  !"#$%&'()*,-./012456789:=Root Entry F@?Data 1Table(WordDocument.SummaryInformation(+DocumentSummaryInformation83CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q