College Carl Washington Healthcare Heroes College Award

DermElevate Scholarship Initiative

The Carl Washington Healthcare Heroes College Award
The Carl Washington Healthcare Heroes Award honors the legacy and extraordinary contributions of Dr. Carl Washington, a distinguished Mohs surgeon, educator, and leader in dermatology. This award is designed to support college students who aspire to careers in medicine and dermatology by easing financial barriers and enabling early exploration of the field.

Dr. Washington completed his medical training at the University of Michigan, followed by a dermatology residency at Henry Ford Hospital and a fellowship in Mohs and Dermatologic Surgery at Duke University. He dedicated 23 years of service as faculty at Emory University School of Medicine’s Department of Dermatology, where he trained hundreds of dermatology residents and 18 Mohs Surgery Fellows. He now practices at Dermatology Associates of Georgia and serves as an Adjunct Associate Professor of Dermatology at Emory, contributing to the Micrographic Surgery and Dermatologic Oncology Fellowship Training Program.

Renowned for his clinical expertise in Mohs surgery for skin cancer and the management of melanoma and high-risk pigmented lesions, Dr. Washington has also served in key leadership roles across the field, including past President of the Atlanta Association for Dermatology and Dermatologic Surgery and former board member of the American Cancer Society Atlanta Unit and the American College of Mohs Surgery.

The Carl Washington Healthcare Heroes Award reflects Dr. Washington’s lifelong commitment to patient care, medical education, and community impact. Through this scholarship, we aim to inspire and empower the next generation of healthcare leaders—especially those from diverse and underserved backgrounds—who will carry forward his legacy of excellence and service.
Eligibility Requirements
- Applicants must be a permanent resident of the United States.
- Applicants must have successfully completed high school and at least two years of college with a minimum unweighted GPA of 3.0 on a 4.0 scale.
  Note: If there are extenuating circumstances affecting your GPA, please explain in the space provided.
- Applicants must be accepted as a full-time student at a college, university, or trade school for the upcoming academic semester.
Timeline
- Application deadline:
- Award notifications sent by:
- Final scholarship recipients notified by:
Application Requirements
- A completed application form.
- Official high school and college transcripts (sealed by the institution).
- Two letters of recommendation, including one from a volunteer or community service experience.
- Three essays (maximum 150 words each), responding to:
  - What area of medicine interests you most and why?
  - What is a unique dermatology condition or treatment that interests you, and why?
  - Where do you see yourself in the next year, and what are your goals for the next 5–10 years?
- One scholarship-specific response (maximum 250 words).
Scholarship Awards
- Award notifications will be sent by *.

Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.

EDUCATION:
Current College or University
Institution Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Institution Phone Number
Please enter a valid phone number.
Will you be enrolled as a full-time student this fall (minimum of 12 credit hours)?

YesNo
College/University GPA (on a 4-point scale)
Please explain any extenuating circumstances that may have impacted your GPA.
High School Graduation Date

MonthDayYear
Date
High School Attended
High School GPA (on a 4-point scale)
Please explain any extenuating circumstances that may have impacted your GPA.

Official College/University Transcript

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Official High School Transcript

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ACT/SAT Score

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Professional Headshot

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Contacts
Parent/Guardian 1 Name

First NameLast Name
Parent/Guardian 2 Name (if applicable)

First NameLast Name
Parent(s) or Legal Guardian(s) Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What area of medicine interests you most and why? (Max 150 words)
What is a unique dermatology condition or treatment that interests you, and why? (Max 150 words)
Where do you see yourself in the next year, and what are your goals for the next 5–10 years? (Max 150 words)
What is one way you hope to impact the field of healthcare or the communities you serve? (Max 250 words)

SCHOOL EXTRA-CURRICULAR ACTIVITIES:

Please list school extra-curricular activities in which you have participated. Note leadership roles and dates.
Activity description(s), role(s), and dates of involvement
ORGANIZATIONS:

Please list community organizations such as service, volunteer and religious organizations in which you are now active or have previously been active. Note leadership roles and dates.
Organization name(s), role(s), and dates of involvement
RECOGNITIONS:

Please list any important awards and recognitions that you received. Note the organizations presenting the honor and the date you received the award.
Recognition name(s), presenting organization(s), and date received

REFERENCES/RECOMMENDATIONS:

Please submit two letters of recommendation. Letters must not be from family members and should be written by employers, community leaders, mentors, or teachers. At least one letter must be from a volunteer supervisor. Please ensure contact information for references are included.
Reference #1

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Reference #2

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Please describe your greatest financial need(s) for the DermElevate Scholarship (e.g., application expenses, travel, volunteer program costs, MCAT fees, or other related expenses). (Max 150 words)
Other Financial Support

List other financial assistance that you will receive or expect to receive per semester or quarter for graduate/medical school.
Personal / Work Study / Employment
Other Scholarship
Grants
Student Loans
Other

STATEMENT OF ACCURACY

I hereby affirm that all information provided by me to the DermElevate Scholarship Initiative© Board of Directors is true, accurate, and free of forgery. I also consent to the use of my photograph, including any images submitted with this application, for purposes deemed necessary to promote the DermElevate Scholarship Initiative© Program. I understand that if selected as a scholarship recipient, I must provide proof of enrollment or registration at my chosen institution before scholarship funds will be awarded.
Name

First NameLast Name
Signature

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I authorize the use of my personal story and headshot in future website materials to celebrate student alumni and illustrate the impact of grant funding on their educational journey.
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DermElevate Scholarship Initiative

Eligibility Requirements

Timeline

Application Requirements

Scholarship Awards

EDUCATION:

Contacts

SCHOOL EXTRA-CURRICULAR ACTIVITIES:

ORGANIZATIONS:

RECOGNITIONS:

REFERENCES/RECOMMENDATIONS:

Other Financial Support

STATEMENT OF ACCURACY

Authorization for Use of Story and Image