WNS Bennett Hiner Award Application - 2023
Please complete all fields. Please contact the WNS office with issues, WNS@badgerbay.co
Name
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First Name
Last Name
Email
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Address
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Street Address
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City
State / Province
Postal / Zip Code
Phone Number
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-
Area Code
Phone Number
School/ Year
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Please describe how your research supports the spirit and purpose of the award.
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Please describe examples of leadership in medical school and in the community that are in the spirit and purpose of the award.
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Please upload the following documents: Research Abstract, CV, Letter of Reference from a Faculty Member.
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Research Abstract
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CV
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Letter of Reference
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