Scholarship Submission Form Health Equity
Submit your application details for Sharp Index scholarship consideration.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Current School or Program
*
Academic Level
*
Please Select
High School
Undergraduate
Graduate
Other
Resume or CV of no more than two pages
*
Short statement describing your connection to the Sharp Index Mission
*
Health Equity Perspective and/or relevant lived experience
*
Educational and Career Goals
Description of financial or structural barriers where applicable (no documentation should be included)
Upload Supporting Documents (optional recommendation letters, etc.)
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of
Proposed knowledge sharing topic
*
Preferred format for contribution
Article
Research
Video
Other
Optional: link to abstract, citation, DOI, publication link, or short description of your project
Please let us know how you heard about the scholarship
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