* Please note:
This application is optimized for use with Mozilla Firefox and Chrome. If used with Internet Explorer, verify that Compatibility View is enabled in order to see the application form.
The application must be filled out in one sitting and cannot be saved at any point in the application. It would be ideal to look at the free response questions first and answer them before filling out the application in its entirety.
The goal of the Future Physician Leaders program is to increase the number of "home grown" physician and healthcare leaders that will serve their community with social responsibility. We welcome all pre-health professions to apply, regardless of their academic level or institutional affiliation. To participate, students must be able to demonstrate maturity, commitment to their education and the community, and show a willingness to be mentored. All students accepted will be expected to participate in the leadership lecture series and the community service project. A smaller cohort of students will also be accepted to participate in physician shadowing. Students who would like to apply for the physician shadowing component of the program must be at least 18 years old before June 1, 2017 and will need to submit two letters of recommendation and their unofficial transcriptswith their application. We will notify all students of their participation status by May 3-5, 2017.
We currently have three program location sites: Coachella Valley, Riverside- San Bernardino, and in Temecula. You may only
apply to one program site. You may ask your application to be transferred to another site before May 1, 2017. The application can be accessed
and submitted online. Please take your time to write thoughtful and thorough answers in your application and review your application to ensure
all questions have been answered. Once you submit your application you will receive an email confirming it was successfully submitted. If you
have any questions or do not receive an email after submitting your application, please contact:
Sophia Rodriguez, Program Coordinator
Tel: (951) 827 - 6090
FPL Coachella Valley
UCR Palm Desert Center
75-080 Frank Sinatra Drive
Palm Desert, California 92211
FPL Riverside- San Bernardino
Cal State San Bernardino
5500 University Parkway
San Bernardino, California 92407
City of Temecula
41000 Main Street
Temecula, California 92590