Frank Fitts Jr. Endowed Scholarship

First Name *

Last Name *

CWID *

Email *

Please select your current year of medical school. *

MS3

MS4

Your total amount of debt related to medical education *

Debt Load *

Please describe how you are affected by a high debt load.

Other Scholarships *

List scholarships, over $5,000, that you have received to support your medical education. Provide the name and approximate amount of money from each scholarship. If you have not received other scholarships enter "Not Applicable".

Considerations *

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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