Pride Away Rotation Scholarship
Open to all members applying for away rotations. Please fill out the application form carefully, we would recommend writing in a word document first and then copy/pasting into the application.
Personal Information
Full Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Education Background
List your previous schools, beginning with the most recent
Medical School Information
School name
Graduated
Yes
No
Entry date
-
Month
-
Day
Year
Date
Graduation date
-
Month
-
Day
Year
Date
Undergrad School Information
School name
Major / Degree
Entry date
-
Month
-
Day
Year
Date
Expected Graduation Date
-
Month
-
Day
Year
Date
3rd School Information (any additional schooling)
School name
Major / Degree
Entry date
-
Month
-
Day
Year
Date
Graduation Date
-
Month
-
Day
Year
Date
Form collapse ender
USMLE Information
USMLE Step 1 Score (or Pass/Fail if Applicable)
Test date
-
Month
-
Day
Year
Date
USMLE Step 2 Score (if available)
Test Date
-
Month
-
Day
Year
Date
Application Information
Please provide a brief description of your research activity
Please provide a brief description of volunteer experience or charitable work
Please provide a brief description of extra curricular activities and hobbies
Please Upload a Copy of Your CV
Browse Files
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of
Pride Ortho Scholarship Application
Please explain what Pride Ortho means to you, and how you see yourself within our community
Please explain how the Pride Ortho Away Rotation Grant will help you achieve your career goals.
NYU Langone
Why have you chosen to rotate at NYU Langone?
Apply Now!
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