Spring 2012 Application Form

Two $500 Fred Kastenbaum PreHealth Awards will be granted this semester.

Applications Procedures:

• Print this page & complete the information,
• gather the material noted below,
• leave the application with: Nancy Pierce, Department of Biology, CNS 161.

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Name (first & last name):

Student ID #:

Anticipated graduation date:

Major/minor:

GPA:

Are you eligible for financial aid (yes/no):

Are you a US citizen or permanent resident (yes/no):

Which exam are you planning to take: 

When are you planning to take this exam (semester/year):

Please include the following in your application:

• current resume (including relevant medical experiences, research experiences, community service, employment, etc.)
• essay (500 words) describing your career goals and why you want to pursue this career path
• plan of how the award ($500) would be used to help prepare for the required standardized exam
• current transcript (unofficial copy is acceptable)