Dr. Sandral Hullett Endowed Scholarship

First Name *

Last Name *

CWID *

Email *

Radio *

MS3

MS4

Please select your current year of medical school.

Priority Status for Award *

Black or African American

Member of other socially or economically disadvantaged group

Not Applicable

Please mark the option(s) below that apply to you.

Consideration *

Describe why you should be chosen for this scholarship, including any interest in primary care, population health, community health, underserved communities or rural communities.

What other financial awards or scholarships have you received to apply toward the cost of your medical training? *

In regards to the above, what is the total amount of scholarship or award monies you have received or are going to receive? *

Scholarship Committee Review *

I understand that the CCHS Scholarship Committee (composed of faculty, staff, and community members) will review my application and discuss my academic and clinical performance as well as my financial situation.

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