HUMAA Scholarship Application Form

HUMAA Scholarship Application Form

Application Deadline - February 3, 2023
We are pleased to invite current HUCM students to apply for Howard University Medical Alumni Association, Inc. scholarships!
Scholarships start at $1,000 and can be used for tuition, housing or other costs related to attending HUCM.

If you are awarded a HUMAA scholarship, your financial aid through Howard University may have to be adjusted to accommodate the scholarship. If you have questions regarding how the HUMAA scholarship may affect your financial aid, you may contact the College of Medicine's Financial Aid Office.
I. Personal Data:

Tell us about yourself
Full Name*

First Name Last Name
Phonetic Pronunciation (How your name sounds)*

First Name Last Name
Birthdate:*

Month Day Year
Mobile No. :*

Area Code Phone Number
Personal E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Demographic Information:

HUMAA's goal is to honor donors who have asked that priority consideration be given to students meeting certain demographic criteria such as gender, ethnic origin and race, or birthplace when selecting awardees. Otherwise, this information in no way affects the outcome of scholaships granted.
Gender:

MaleFemale
Are you a US citizen?

YesNo
If no, where were you born?
Place of Birth
Definitions for Racial and Ethnic Categories:

African: A person having origins in any of the black ethnic groups of Africa whose grandparents were born in Africa. American/Indigenous Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black: A person with African ancestral origins whose grandparents were born in the US. Caribbean: A person who is of Caribbean descent and whose grandparents were born in the Caribbean.
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin. Middle Eastern or North African: A person who has has origins in the Middle East and North African including Iran, Israel Turkey and countries that form the Arab League and non-Arab countries. Native Hawaiian Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. White: A person having origins in any of the original peoples of Europe.
Ethnicity (Choose one or more):*

AfricanAlaska NativeAsianBlackCaribbeanHispanic or LatinoIndigenous IndianNative Hawaiian or Pacific IslanderWhite
Please check veteran status (Check all that apply):

VeteranChild of a VeteranSpouse of a VeteranNone of the Above
Status at the time of application:

M4M3M2M1
Are you enrolled in a dual degree program? If so, please list here:
Ex: MD/MBA
Are you a first generation college graduate?

YesNo
Number of Dependents
Anticipated Specialty*
Pick your first choice
Briefly, state your career objective:

0/50
II. Education Information:
High School Attended:*
Name and City, State
Did you attend either of the school's listed below?

Pine Forge Academy, OakwoodColumbia Union College
Undergraduate Institution*
Name and City, State
Other Graduate School(s) Attended:
Name and Year
Most recent cumulative GPA or latest med school ranking:*
Undergraduate GPA is ok
If you have received a HUMAA Scholarship, please list the name here:
Honors and awards received in undergraduate, graduate or medical school:
List name of accolade(s)
List any participation in community service and/or student organizations:
Membership and offices held
Are you a member of:

Omega Psi PhiAlpha Kappa Alpha
List research experience within the last four years, if any:
e.g. conducted experiments, did fieldwork, participated in lab meetings, wrote papers, presented at conferences, etc.
List title(s) and citation(s) for articles that you have published, if any:
Include author(s) and pages
III. Personal Statememt
Your statement must be 300-400 words and can include: why you chose to attend medical school (Howard in particular), why a HUMAA scholarship is important to you, or experiences that make you uniquely worthy of scholarship consideration.
Essay:

0/500
IV. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. Additionally, please enter your Howard University ID# and submit a profile picture for identity purposes.

When you press the submit button, you will receive an email confirmation that your application was received. Please keep for your records and retain as verification of your application.
E-Signature:*
Howard University ID #
Please upload a profile picture (headshot)*
HUMAA is committed to equal opportunities. We do not discriminate on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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HUMAA Scholarship Application Form

I. Personal Data:

II. Education Information:

III. Personal Statememt

IV. Applicant's E-Signature