myBama
College of Community Health Sciences

MOORE Scholars Application

We will contact you after your application is reviewed and confirm that it is complete.

If you have questions about the application process or the MOORE Scholars, please contact Cynthia Moore at (205) 348-3116 or cmoore@ua.edu.

Ask your high school guidance counselor to submit a copy of your high school transcript, including scores on the ACT, SAT or other standardized tests you have taken:

MOORE Scholars
The University of Alabama
Box 870327
Tuscaloosa, AL 35487-0327

Your Information

Name(Required)
Date of Birth(Required)
Mailing Address(Required)

Demographic Information

Sex(Required)
Race(Required)

Education

I am in the 12 grade.(Required)
Graduation Date(Required)
Max. file size: 25 MB.
What courses have you taken?(Required)
Did you participate in HOSA (Health Occupations Students of America) in high school?(Required)

Parent/Legal Guardian Information

Guardian Name(Required)
Guardian Address(Required)
Did your mother attend college?(Required)
Did your father attend college?(Required)

Future Plans

Statements of Interest

Minimum 250 words

Letters of Recommendation

Max. file size: 25 MB.
Counselor Name(Required)
Max. file size: 25 MB.
Name of recommender(Required)

I certify that the information submitted in this application is complete and correct to the best of my knowledge.

Sign your name below.(Required)
My parent or guardian has given permission for your me to participate in the Rural Health Scholars Program at The University of Alabama.(Required)