Secondary/Supplemental Applications

What are secondary or supplemental applications? 

Health professional schools usually accept applications in two stages: the primary application is submitted through a centralized application portal (AMCAS, AACOMAS, AADSAS, etc.), and then secondary or supplemental applications are submitted directly to the schools themselves.  The secondary applications usually consist of essay responses to questions that require more specific information about the applicant and the likely fit for the specific school.  Applicants should plan to spend abundant time preparing secondary applications during the summer when they apply to professional school.  We recommend that students submit secondary applications no later than two weeks after the information is requested.

In addition, many schools are adding  online CASPer tool as part of their secondary/supplemental application. Please see below more details on CASPer.

  • Click HERE to access CASPer
  • Online (internet-based) situational judgment test - test-takers are presented with a series of realistic, hypothetical scenarios and are asked what they would do if they were in each situation.
  • Takes 60-90 minutes to complete with an optional 15-minute break halfway through.
  • Composed of 12 sections, each of which contains a scenario and set of questions based on the scenario.
  • Each section has either a 60- or 90-second video-based scenario or a text-based scenario.
  • Each scenario is followed by three open-ended questions where applicants are asked to type in their responses.
  • Applicants have five minutes to respond to all three questions before they progress to the next scenario.
  • Applicants do not see their scores once they complete the test (similar to other holistic selection methods, such as interviews or personal                   statements). The scores are directly distributed to their selected programs within 3 weeks.

Applicants cannot study for the test; CASPer is not a pass/fail test, nor are there right or wrong answers to the questions.

  • The test is designed to assess how students would respond to an ethical dilemma on the spot.
  • Applicants should familiarize themselves with the format of the test by completing the system requirements check on the website well ahead of their test date and time.
  • Applicants should find a comfortable and quiet space to take the test on test day, as this will help them stay focused for the duration of the test.
  • communication
  • collaboration
  • ethics
  • empathy
  • equity
  • motivation ​
  • problem
  • solving
  • professionalism
  • Applicants can register at, where they will sign up with an email address and create a password.
  • Applicants must pay the fee to schedule a test date and time. Note: different dates and times are offered for different institutions, and applicants should check well in advance to see when test dates are offered for the programs they wish to apply to.
  • The fee to take CASPer varies by program type and country. For US graduate programs, such as medicine, physician assistant, etc., the fee is $10 to take the test and $10 to distribute results to each program that the applicant is applying to that requires CASPer. For US undergraduate programs, such as nursing, the fee is $40 to take the test and $10 to distribute results. Test dates and fees can be found here:  
  • Applicants are responsible for indicating which programs their CASPer results are sent to.
  • Applicants will be instructed to complete a system requirements check to ensure their computer and browser are up-to-date and can run the test without technical issues. Note: it is important that the applicant completes this check well ahead of their scheduled test date to ensure they can find a backup computer should they need one, and to familiarize themselves with the test format. 
  • As part of extensive test security measures, applicants must have a working webcam and a valid government photo ID to take the test.
  • Once they complete the test, applicants can be assured their results will be sent to the programs they indicated for distribution.