Reese Phifer, Jr., Memorial Foundation Scholarship – College of Community Health Sciences

First Name *

Last Name *

CWID *

Email *

Year *

Yes, I am currently a MS4 student.

Please confirm that you are currently a MS4 student.

Please indicate your fit with the following priorities for this scholarship:

Likely to join The University of Alabama Family Medicine Residency (based on your best estimation): *

Not at all likely

Likely

Very likely

Level of interest in spending part of your training in Fayette, Alabama, as part of The University of Alabama Family Medicine Residency: *

Not at all interested

Somewhat interested

Very interested

Please elaborate on your interest in spending part of your residency training in Fayette, Alabama. (Optional)

Primary Care Interests and Intents *

Describe your interest in and your intent to practice primary care. (500 word limit)

Merit *

Please briefly summarize why you should be considered for this scholarship, including any relevant accomplishments (500 word limit).

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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