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AMWPA

American Muslim Women Physicians Association
Merit Award Application for  Pre-medical/Pre-dental students

Two Awards of $500 each will be awarded.

Eligibility:

  • Female Muslim
  • Parents are not physicians
  • Current or pre-medical or dental student at an accredited university or graduate school
  • Attached transcript from university indicating
  • Enrollment
  • Minimum cumulative GPA 3.50 only required for pre-medical and pre-dental students.
  • 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