Medical Spanish: A Book Scholarship Program

		• Medical & Dental Spanish • International Medicine • Art of Medicine Scholarship Application

Medical & Dental Spanish Details International Medicine Details Art of Medicine Details		Instructions: Medical & Dental Spanish and International Medicine Scholarships are 60/40 matching grants and are provided on a first-come, first-served basis to students and residents. Steps: 1) Complete and submit the application form below. 2) Your completion and submission of this form certifies that you have had financial need and are a student or resident in the institution mentioned on the application. 3) Prepare for a great resource and a fantastic learning experience.

		Personal Information

First Name:

Middle Initial:

Last Name:

E-Mail Address::

Address 1:

Address 2:

City:

State:

Zip Code:

Telephone:

		Participation

Dates of Participation:
Number of Weeks:

		School Information

Professional School Name:

Professional School Type::

Number of Years Completed:

		I am a student or resident who has received financial aid.


Check the box:

		I am enrolled in a medical program.


Check the box:

Message / Question:



		Home \| About Us \| Our Mission \| Model for Hope \| Health Projects \| Travel Info \| Global Health Education Projects How to Make a Donation \| Contact Us \| Publications Copyright 2008: Craig A. Sinkinson