Fellowship Program Application Form Logo

  • FLARE FELLOWSHIP

    PROGRAM APPLICATON

  • Deadline: March 1, 2026

  • Thank you for applying to the The ATSU FLARE (Fostering Leadership & Academic Resilience in Education Fellowship Program is designed to cultivate diverse leaders committed to advancing health equity and inclusive excellence. This immersive fellowship includes room and board, dynamic learning experiences, and professional networking opportunities.

    • Program Fee:

    $800 for non-ATSU participants
    20% discount for ATSU students, employees, and alumni ($640)

    • Scholarship: Applicants may apply for a $300 scholarship by submitting a written narrative describing financial hardships this funding would address.

    There are six parts to the application: Personal Information, Essay, Supporting Documentation, Fees, Non-Discrimination Statement, Certification & Signature.

    Important: You may use the "back" button to make changes to the application as you work.  Once you press "Submit," you will no longer be able to edit the form. 

  • Part One: Personal Information

  • Please tell us a little more about yourself here:

  • Part Two: Essay

  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof

  • Describe in 750 words or fewer, why the FLARE Fellowship program would help you in your career pursuit.

  • Part Three: Additional Documentation

  • To make sure your application is complete, please be sure to provide the following information:  

    1. Your most recent full transcript

    2. Your CV / Resume, with information about employment history, research experience(s), any university, college, or community organizations and/or activities with which you have been involved with, and any awards and scholarships you have received.

    3. You are welcome to include a recommendation letter, on a separate sheet, with any other information you would like the committee to know. 

  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof

  • Part Four: Fees & Payment Selection

    Application Fee: $75 (non-refundable, due with application submission)

  • Application Deadline:

    *The program enrollment fee is due by March 15, 2026

  • Cancellation Process:

    *Refunds will be made in the same form as the original payment.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Part Five: ATSU Non-Discrimination Statement

  • A.T. Still University of Health Sciences (ATSU) does not discriminate on the basis of race, color, religion, creed, sex, gender, gender identity, sexual orientation, age, national or ethnic origin, disability, marital status, veteran status, or any other legally protected status in the administration of its educational programs, admissions, financial aid, employment, or other activities.

  • Section Six: Certification & Signature

  • I certify that the information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that my application fee is non-refundable, and that acceptance into the program is at the discretion of the selection committee.

  • Powered by Jotform SignClear
  •  - -
  • Should be Empty: