George Washington University Hospital Women s Board, Inc. Medical School Scholarship Application Packet

Transcription

1 Introduction: The (Women s Board) fulfills various charitable interests of The GW University Hospital, The George Washington University and the community at large. To help offset the high cost of medical school education, the Women s Board is awarding medical school scholarships to qualified current 3 rd year (rising 4 th year) students at The George Washington School of Medicine and Health Sciences (GWSMHS) for the academic year. A total of four medical school scholarships of $6,500 each are expected to be awarded this year. Scholarship awards are to be allocated for 4 th year tuition, books and related fees only. Please follow the instructions below to be considered. Application materials must be delivered or postmarked to the Financial Aid Office Monday, April 6, Eligibility: To be eligible for The Women s Board Medical School Scholarship, applicants must meet the following requirements. 1. Education: Applicant must be currently enrolled and attending The George Washington School of Medicine and Health Sciences (GWSMHS) as a third year medical student in good standing. 2. Academic Excellence: Applicant must exhibit an above average standard of excellence in course work, and rank in the top 1/3 of the class. 3. Financial Need: Applicant must qualify for financial aid assistance. Preference is given to students qualifying for GW Institutional Aid. 4. Completed application package. Applicant must submit a completed package by the deadline. 5. In-person interviews: Applicants invited to interview must meet in-person with the interviewing committee the evening of Wednesday, April 22, 2015 in order to qualify for the scholarship award. Application Package: A complete application must include the following documents to be considered. Application Document Application Form Essay Instruction Tips Complete the form with required details. Avoid using see résumé on sections of the application packet. Refer to instructions on the essay form. Professional résumé Include your education, work experience, research, and any publications. Two letters of recommendation from GWSMHS faculty Print two recommendation forms and complete the Rights to Privacy Act on the first page of each before giving them to faculty. Letters of recommendation must be placed in separate sealed envelopes with a signature across the sealed back flaps of the envelope from the faculty who is providing your recommendation. All application materials must be postmarked or hand delivered by April 6, 2015 to: GWUH Women s Board, Inc. re: Medical School Scholarships Attn: Meredith Schor, Financial Aid Office Ross Hall, Suite I Street Application deadline: Monday, April 6, For questions, contact: edchairgwuhwb@gmail.com. Page 1 of 5

2 Last Name: Washington, DC Application Form First & Middle Names: Last four digits of your Social Security #: Date of Birth: Local Street Address: City, State, Zip: Preferred method of contact? (phone or ) Home #: Cell #: address: Financial Need. Please list all current sources of income/scholarships/financial assistance that contribute to your education and room/board expenses: Source Amount Education: List all Colleges/Universities attended in reverse chronological order. Use a separate sheet for more than three schools. Degree Received: Application deadline: Monday, April 6, For questions, contact: edchairgwuhwb@gmail.com. Page 2 of 5

3 List Degree Received: List Degree Received: Interests, Awards and Publications. Please list the following: Hobbies and Interests: Awards & Special Recognitions (with dates and associated organizations): Volunteer and civic experience during medical school: Published materials (with title, date and publication): Areas of Professional Interest: Internal Medical/Family Practice Internal Medicine/Specialty Care (please specify) Write yes for area of interest and specify as needed. Application deadline: Monday, April 6, For questions, contact: Page 3 of 5

4 Surgery (please specify) Obstetrics/Gynecology Psychiatry Research Public Health Other (please specify) References and Recommendations: Please name the two references from the GWSMHS faculty who will complete the Recommendation Forms on your behalf. 1) First and Last Name Specialty 2) First and Last Name Specialty How did you learn about the Women s Board Medical School Scholarships? GWUH Staff GWUH Women s Board Member Web Site Flyer/Poster Financial Aid Office Other Write yes for all that apply. Certification. I certify that all information is correct at the time my Application Packet is being submitted. I understand that I must repay the GWUH Women s Board, Inc. all Medical School Scholarship monies received if I do not comply with the regulations listed above and/or if I have falsified any information contained within the Application Packet. Signature of Applicant: By signing below, I certify that all the information is correct at the time my Application Packet is submitted; and I give the GW M.D. Program Financial Aid Office permission to share my financial aid information with the GWUH Women s Board Education Committee. Signature and typed name Date Application deadline: Monday, April 6, For questions, contact: edchairgwuhwb@gmail.com. Page 4 of 5

5 Please proceed to the next page and complete one of the following essays. Essay. Essay Instructions: Please answer one of the following questions below. Your answer should be typed using 11or 12 point font, and no more than three pages in length. 1. If you were just appointed Surgeon General of the United States, what would be your first priority and why? 2. What role do ethics play in healthcare? Include clear and relevant examples. 3. Express your opinions on the future of technology, in particular the use of Electronic Health Records, and what that means for the physician. 4. Describe how the Affordable Care Act may or may not support expansion of preventive care and services to all Americans. Include clear and relevant examples. 5. Propose a healthcare model that would reduce or eliminate physical or mental health disparities. In the proposal, include the role of the physician, other healthcare providers, patient, community, and/or other stakeholders deemed critical in the plan. (You may leverage existing policies and/or create new policy approaches in your plan). Application deadline: Monday, April 6, For questions, contact: edchairgwuhwb@gmail.com. Page 5 of 5