<p>Add Lafayette & Lehigh in there as "safeties" for you. MIT/Princeton etc are in the 10% admission range, so although your resume is very impressive there are NO sure things at those schools. Also, Lafayette offers generous merit scholarships as well as financial aid, since your resume is so strong you'd stand a good chance of being offered a merit scholarship there. Might not have the "national" reputation among the general public, but both Lafayette & Lehigh are very well respected among engineers and med schools. And they are both well under 10,000 students.</p>
<p>Remember, at a school with no grad students you'll get much better opportunities to do undergrad research with professors and even get published.</p>