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AMWPA

Application for Dr. Mohammad Khalid Memorial Merit Award for Healthcare Professionals.(Nurses/Physical therapy/Pharmasist/optometrist) student

Two Awards for $ 750 each

Eligibility:

  • Female Muslim
  • Parents are not physicians
  • Current student at an accredited nursing/pharmacy/chiropractic/optometric school in USA
  • Enrollment
  • Extracurricular involvement as indicated by attached form
  • Volunteer experience as indicated by attached form
  • Copy of resume
  • High motivation and potential for success as indicated by attached essay(s)

 

First Name

Middle Initial

Last Name

Date Of Birth

Street Address

City

State

Zip Code

Phone

Email

Academic information

University

Major(s)

Year/Term

Degree(s) Pursued

Expected Grade Date



Honors and recognition received while attending college (attach extra sheets if more room is needed):

Honor/Recognition

Date

Description


Extracurricular involvement in college:
Organization/Activity

Date

Description


Community service during college:
Service

Date

Description


To be attached: Professional goal statement, 500 words or less – Professionally where do you see yourself in 10 years and please tell us how you will contribute to AMWPA in the future?


Optional, to be attached: Additional statement, 300 words or less – What else would you like the committee to consider upon reviewing your application? (Hardships, notable accomplishments, etc.)


***PLEASE SEND YOUR TRANSCRIPT/RESUME TO

Chairperson AMWPA Award Committee
Email: amwpa.app@gmail.com