Students who are awarded a position in the Early Assurance Program must maintain certain academic standards and participate in various activities to remain eligible for their seat in the BSOM entering class. These requirements include:

• earning a minimum GPA (both overall and science) of 3.5
• completing all medical school requirements by the end of the sophomore year
• maintaining "an acceptable level of personal deportment"
• participate in required group and enrichment activities (BSOM student buddy sessions, hands-on medical exposure, summer programs, service learning, AED participation, leadership roles, periodic advising at the BSOM, honors courses, etc.)

Students in the Early Assurance Program who remain eligible and interested will complete an application to the BSOM via the American Medical College Application Service early in their junior year, and will be exempt from both the supplemental application fee and the Medical College Admission Test requirement. They will then receive a letter of acceptance with a one-year deferment, which will enable them to enter the BSOM at ECU after graduation.