• Newcomer Financial Support Program Application Form

    Whitetulip Health Foundation
    • section - Date calculations  
    • section - if member  
    • section - not a member  
    • Whitetulip Health Foundation's scholarship programs are only for members.

    • section - Informations to fill  
    • APPLICANT INFORMATION

    •  -  -
      Pick a Date
    •  -  -
      Pick a Date
    • ACADEMIC INFORMATION

    •  
    • EXPENSES
      Please list the amount of assistance needed for the educational activity you are applying for? (Write the cost of each item approximately and multiply with the number of months if it is recurring)

    •  
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      • Up-to-date CV

      • A recent photo obtained in the last 6 months

      • A copy of the diploma (or proof of studentship) from medical school or other healthcare institution in another country.

      • A proof of initiation to continue a medical career in the US such as proof of ECFMG account for medical doctors or its equivalent according to the applicant’s medical profession to indicate the initiation of the US medical credentialing process.

      • The copy of the receipt of the application for permanent legal status in the USA.

      • Copy of the document that shows current visa-residency status and entry date of USA. 

      • Most recent I-94 document.
      • Whitetulip Health Foundation membership verification letter.

    • SIGNATURES

      I, the applicant, certify that the information in this application is complete and correct to the best of my knowledge and in the event I am awarded a scholarship, all funds will be used to further my medical education and or career.
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    • WE RESPECT YOUR PRIVATE, SENSITIVE, AND CONFIDENTIAL INFORMATION

      All your private, sensitive, and confidential information received by Whitetulip Health Foundation will only be used to evaluate and process your scholarship application. We exercise extreme care and discretion when handling such information. Your personal information, in any circumstances, will not be shared with other individuals or organizations without your permission.

       

      BEWARE OF SCAMMERS!

      Whitetulip Health Foundation does not initiate contact with our members, volunteers, and/or applicants by email, text messages or social media channels to request their personal, sensitive, confidential, or financial information, including requests for SSN, passwords, or access information for credit cards, banks or other financial accounts.

      If you receive such a request this might be a scam! Please contact us immediately.

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