Under Represented in Medicine Away Rotation
2025 Applications
Full Name
*
Email
*
example@example.com
Medical School
*
How did you hear about this opportunity?
1. Describe why you think you qualify for this award: (limit 250 words)
*
2. Why are you interested in otolaryngology, and what do you see for yourself in your future career? (limit 250 words)
*
3. How have you demonstrated leadership during medical school? (limit 250 words)
*
4. Talk about any barriers you have faced in your path to medicine: (limit 250 words)
*
5. What does equity and inclusion in medicine mean to you? (limit 250 words)
*
USMLE Step 1 Score
*
Please Select
passed on 1st attempt
failed on 1st attempt
USMLE Step 2 Score
*
Please Upload Current CV
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please Upload Medical School Transcript (unofficial copy is acceptable)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please Upload Letter of Recommendation
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: