AMWPA Merit Award Application for Medical Students > In Memory of the Late Mohammad Tariq and Late Samina Ameen > Awards Provided by Ameen People Inc. Application will be open from June 18, 2026 and closes Sep. 18, 2026. 2 Awards of $500 each AMWPA Awards in Memory of late Mohammad Tariq and late Samina Ameen, awards provided by Medical students Eligibility Please check all boxes to confirm your eligibility and that you have all the required documents: Only open to Students from the State of Texas who are enrolled in a Texas university or college (Must be currently enrolled at an accredited Texas institution) Eligibility * Female Muslim. Currently involved in and supporting AMWPA activities. Parents are not practicing physicians (exceptions apply if a parent holds a degree but has never practiced). Currently enrolled as a Medical student at an accredited Medical School in US. Ready to upload an official academic transcript. Ready to upload a current CV. Ready to upload an official verification letter of school enrollment. Ready to upload a professional portrait photograph. Upload Picture * Drop a picture here or click to upload Choose Picture Maximum file size: 25MB Please upload professional portrait photo 2 x 2.5″ (Width: 192px Height: 240px) Attach Transcript * Drop a file here or click to upload Choose File Maximum file size: 25MB Copy of Curriculum Vitae (CV) * Drop a file here or click to upload Choose File Maximum file size: 25MB Letter of School Enrolment * Drop a file here or click to upload Choose File Maximum file size: 25MB Personal Information First Name * Middle Name Last Name * Date of Birth * Phone * Email * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Academic Information University * Major(s) * Year/Term * Degree(s) Pursued * Expected Grade Date * Section Where do you see yourself professionally in 10 years, and how do you plan to advance the mission of AMWPA in the future? * 0 of 500 max words How are you currently involved in AMWPA activities and what are your accomplishments within the organization? * 0 of 300 max words Terms & Condition * AMWPA Membership: I agree to join AMWPA upon graduating from Medical school. I commit to being an active, dues-paying member throughout my residency/fellowship, and into my professional practice, continuously supporting the organization’s mission. Photo & Publicity Consent: If selected for an award, I consent to having my submitted photograph posted on the AMWPA website. I agree that this photograph will be published without any alterations or changes. Submit If you are human, leave this field blank.
