Application For Dr.Mohammad Khalid Memorial Merit Award for Healthcare Professional Students Application will be open from June 15, 2025 and closes Oct. 15, 2025. 1 Award of $750. Eligibility:Female MuslimParents are not physicians (exception will be made if parents never practiced as physicians)Currently Enrolled as a student at an accredited nursing/pharmacy/chiropractic/optometric school in USACopy of resumeNeed pic with applicationSend your letter of school enrolment Application For Dr. Mohammad Khalid Memorial Merit Award for Healthcare Professional Students First Name * Middle Initial * 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 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? Please tell us what you can do for AMWPA now while you are in school? (Ex. starting a local AMWPA chapter at your school, volunteering for health fairs, etc) What else would you like the committee to consider upon reviewing your application? (Hardships, notable accomplishments, etc.) Terms & Condition I agree to join AMWPA after graduation from medical / dental school/allied health and be an active member of AMWPA. Also agree to get the pic posted on AMWPA website if you get the award and no changes will be made to that pic. (Note: Recipients of merit awards will be given free membership to AMWPA for 1 year after graduation and then will be required to continue being active members of AMWPA by paying dues annually to be part of the organization. *** PLEASE SEND YOUR CV TO *** Chairperson AMWPA Award Committee Email: amwpa.app@gmail.com Submit If you are human, leave this field blank.