Student Third-World
Health Manager
Course and Scholarship

Initial Application


Instructions:

1) Complete and submit the application form below.


2) A $100 application fee must accompany the
application. You will be directed to a web page for
submitting this fee, upon completion of this form.

3) Your completion and submission of this form
certifies that you are a undergraduate or graduate student, resident, physician, nurse, or other health care worker.

4) Upon receipt of the application, a representative of Mayan Meeical Aid will contact you regarding the other aspects of the application, including the following items:


• Personal statement, which gives reasons for applying for the program, prior global health experience, and expectations from the course (not to exceed 750 words)

• Curriculum Vitae containing education, publications, professional experience, languages, honors & awards, local and international experience / volunteer work, extracurricular interests, and special skills

• Three Letters of Recommendation from individuals who know you well enough to assess your academic strengths, personal qualities, and accomplishments

• Original transcripts from undergraduate and / or graduate schools

Personal Information
First Name:  
Middle Initial:  
Last Name:  
E-Mail Address::  
Address 1:  
Address 2:  
City:  
State:  
Zip Code:  
Telephone:  
Institution Information
Professional School Name:  
Professional School Type::  
Please accept this application for the Student Third-World Health Manager Course and Scholarship.
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