Larry Mayes Endowed Scholarship

First Name *

Last Name *

CWID *

Email *

Year *

MS3

MS4

Please select your current year of medical school.

Short Essay *

Describe your plans for an elective abroad or in a medically underserved area in the United States. Briefly discuss the goals for your elective and how you plan to achieve them.

Budget *

Please provide a basic expected budget for your entire trip. Include any airfare, lodging, food, and other expenses.

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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