Global Health Residency Scholars Program Application 2023-24

Global Health Residency Scholars Program (GHRSP)

Application for Academic Year 2023-2024
IMPORTANT NOTE FOR APPLICANT:
- To save your application click the "SAVE" button at the bottom of the page.
- You will receive an email with a personalized link to this survey which you can use to go back to the survey and edit.
- You will also need this link to send this application to your recommenders so that they, or one of their representatives, can upload their letters of support.
- Once your recommender's letter is uploaded, the submission portal for that letter will no longer be visible, and a message that the file is uploaded will be displayed.
- Once you have completed your portion of the application and have received all letters of support, please check the box at the bottom of the survey stating "Application completed" and click on the "SUBMIT" button. That will indicate to our program that you have completed your application and it is ready for review.
- The application submission deadline is February 28, 2023.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Emory Email*
Non-Emory Email
Department/Division*
Program Director*
Current PGY Level*
US Citizen*
Country of Citizenship (to help facilitate acquiring a visa if selected)*
Name of Faculty Attending for GHRSP travel
Estimated rotation travel month
Example: MM/YYYY to MM/YYYY
CV/Biosketch*

Cancelof
Personal Statement*

Cancelof
Please click "SAVE" at the bottom of the page to save and continue later.

You will receive an email with a personalized link to this survey which you can use to go back to the survey and edit.

You will also need this link to send this application to your recommenders so they, or one of their representatives, can upload the letters of support.

In the following section your Program Director, Chair, and intended Faculty Attending should upload their letters of support.

Instructions to upload and save the files are included in each section below.

For questions, please email the Program Coordinator, Saiza Jivani at sjivani@emory.edu.
Program Director
1. Upload the letter of support here
2. Once you have uploaded the file, the field will disappear.
3. Click the "SAVE" button at the bottom of the page to save the uploaded file.
Program Director Letter of Support*

Cancelof
*** Program Director Letter of Support Uploaded ***

Please click the "SAVE" button at the bottom of the page to save the uploaded letter of support.
Chair or Division Director
1. Upload the letter of support here
2. Once you have uploaded the file, the field will disappear.
3. Click the "SAVE" button at the bottom of the page to save the uploaded file.
Chair or Division Director Letter of Support (Must state support for funding travel and lodging for 1-month rotation)*

Cancelof
*** Chair or Division Director Letter of Support Uploaded ***

Please click the "SAVE" button at the bottom of the page to save the uploaded letter of support.
Attending Faculty
1. Upload the letter of support here
2. Once you have uploaded the file, the field will disappear.
3. Click the "SAVE" button at the bottom of the page to save the uploaded file.
Faculty Letter of Support from faculty traveling as Attending*

Cancelof
*** Attending Faculty Letter of Support Uploaded ***

Please click the "SAVE" button at the bottom of the page to save the uploaded letter of support.
Once you have completed your portion of the application and have received all letters of support, please check the box stating "Application completed" and click on the "SUBMIT" button.

The application submission deadline is February 28, 2023.
Application Completed*
Should be Empty:

Global Health Residency Scholars Program (GHRSP)