Greensboro Medical Society Foundation 2027 Scholarship Application
Complete the eligibility screening, required details, essays, and uploads by January 15, 2027.
Applicant Information
Applicant Full Name
*
First Name
Middle Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
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American Samoa
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Australia
Austria
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The Bahamas
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Belize
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Burkina Faso
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Liberia
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Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
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Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Academic Program and Eligibility Screening
Institution Name
*
Degree Program
*
Please Select
MD
DO
DDS
DMD
PharmD
DPM
DC
DVM
Equivalent degree
Current Year in Program
*
First year
Second year
Third year
Accepted into program
Expected Graduation Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
GPA
Specialty
Local Eligibility Pathway
Which local qualification applies?
*
Current Greensboro, NC resident
Attended a Guilford County high school for more than one complete year
High school name
High School Dates attended
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
University or College attended
Please Select
Bennett College
Greensboro College
Guilford College
High Point University
NC A&T State University
UNC Greensboro
Local eligibility evidence
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Essays
Why do you want to pursue a career in healthcare? (500 words max)
*
Describe your understanding of health disparities in your community or among underserved populations. (500 words max)
*
Describe your leadership and service experience. (350 words max)
*
How would this scholarship support your education and future goals? (350 words max)
*
Financial Need and Other Assistance
Optional Financial Need Statement
Optional Other Assistance Received
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Official Transcript
*
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Proof of Current Enrollment
*
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CV or Resume
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Recommendation Letter
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Certification, Consent, and Submission
Applicant Certification Signature
*
Certification Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Consent for Public Gala Recognition and Photos
I consent to my name being listed for gala recognition
I consent to photos being used for foundation publicity
I consent to both
I do not consent
Confirmation Email Address
example@example.com
Submission Confirmation Message
Submit Application
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