College of Public Health
Scholarship Application for College-Level Scholarships
Name
*
First Name
Last Name
E Number (Please include the E before the number)
*
Phone Number
*
Please enter a valid phone number.
ETSU Email
*
example@example.com
Are you a Veteran of the United States Armed Forces?
*
Yes
No
Are you a current member of the ETSU Football Team or the ETSU Marching Band
*
Yes
No
Are you actively participating in a student organization?
*
Yes
No
Are you a non-traditional student?
*
Yes
No
If you are applying as a graduate student, do you have two years of documented real-world public health experience? (If you are an undergraduate student, please mark not applicable.)
*
Yes
No
Not applicable
Are you a Bahamian or Caribbean Student?
*
Yes
No
Are you an incoming Master of Public Health/Master of Health Administration Student?
*
Yes
No
Do you have an interest in environmental health sciences?
*
Yes
No
Do you have an interest in living and serving in the immediate ETSU surrounding area during your career?
*
Yes
No
Please describe your potential to succeed in a public health/health sciences/environmental health career that details your goals, services, and other work activities.
*
Please provide examples of how you have demonstrated leadership while attending college.
*
Detail your commitment to community service and provide examples of your community service activities.
*
Optional: To apply for the Ethan S. Bain Scholarship, please attach an essay that discusses your (1) commitment to returning to your home nation as a leader (2) care and concern for individuals and communities (3) field placement site with consideration of the guiding principles and objectives of the Ethan S. Bain Environmental Health Foundation and (4) Interest in mentorship and openness to provide guidance to future recipients of the scholarship. More information about this scholarship can be found on the college's website at www.etsu.edu/cph/student-life/financial/phscholarships.php
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