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)

