Submit this request form to express interest in the 6-Year BS/DO pathway between Florida Polytechnic University and Orlando College of Osteopathic Medicine (OCOM). We will use this form submission to keep you informed with updates on this partnership and educational opportunity.

Your Information

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Is it okay for Florida Poly representatives, including automated systems (AI), to contact you via text message (SMS)?

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Your Interests

Select your student type

Select your program of interest

What term are you interested in?

What year are you interested in?

Your Address

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Are you an international student?

UTM Fields

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By clicking submit, I agree that Florida Poly may email me or contact me regarding this program by telephone and/or text message, including messages sent using automated technology and/or AI systems, at the mobile phone number provided above. I understand this consent is not required to attend Florida Poly programs. If I reside outside the U.S., I consent to the transfer of my data to the U.S. body that governs the submission and handling of this data. Message and data rates may apply

*Program pending approval from the Florida Board of Governors.