2019-20 Scholarship Application

Please complete the following information. Required fields are marked with an asterisk (*).
Personal Information
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Local Address
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Permanent Address
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Education Information
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Honors and awards received at undergraduate, graduate or medical school
Research fellowships received at your undergraduate, graduate or medical school
List in chronological order, professional, social, civic and student organizations, in which you have participated over the past four years
Title and citation for articles you have published
Personal Statement & Authorization
All applicants must provide a personal statement of not more than 1000 words discussing significant persons and/or events that have influenced your decision to pursue a career in medicine, your personal and professional goals over the next ten years, how this scholarship would benefit your medical training, and your financial need.
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I authorize Howard University College of Medicine (HUCM) to release information concerning my academic status, my class rank and financial aid package to Howard University Medical Alumni Association, Inc. (HUMAA) in support of my application for a HUMAA Scholarship. I understand this application will be reviewed by members of HUMAA Scholarship Committee and give my permission for the application and supporting documentation to be copied and distributed for this purpose.
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Please Note: After you hit 'Submit' you will receive an automated confirmation of your scholarship submission. If you do not receive this e mail, your submission was not successful. 

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alumni Association, inc.

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