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MSUCOM Scholarship Application
Complete the form below by Friday, January 5, 2018.

A short essay is required for all MSUCOM scholarships. The scholarships offered by MSUCOM include criteria and priorities beyond simple academic performance. Your essay should reflect your goals, ideals, values as an osteopathic physician in training, achievements, and how financial assistance would make a difference. Convince the Scholarship Committee why we should select you. This is a Big Picture document, so please limit your essay to 300 words. Send an email copy of your essay to both Williams Falls at bill.falls@hc.msu.edu and to Brenda Schmidt at schmid23@msu.edu. Please put in the subject line: "Lastname, Firstname, Class, and "Scholarship Essay."

The Scholarship Committee will request letters of support for scholarships which require them after candidates are deemed competitive.

APID# (2022 students write N/A) *
Your answer
Last name *
Your answer
First name *
Your answer
Middle Initial *
Your answer
Email (2018-2021 students use MSU Email) *
Your answer
Class you are in *
Required
Residence *
Required
Hometown City (only) *
Your answer
Hometown County (only) *
NOT Country
Your answer
High School *
EXAMPLE: Northwest, Pioneer, etc.
Your answer
Language you are fluent in *
Your answer
Specialty of interest *
Clerkship / Residency. Select all that apply
Required
Geographic Practice Preference *
Select all that Apply
Required
COM Organizations: Executive Board or Reps/Liaisons *
If you hold or have been on a Organization Executive Board = Pres, VP, Sec, Treas., Social, PR, Liaison, etc. or a: Representatives = Admissions, CAD, CHC, Comm. Serv., COGS, COMS, Diversity. 2018, 2019, 2020, 2021. Select all that apply.
Required
COM Organizations: Membership *
General Membership. 2018, 2019, 2020, 2021. Select all that apply
Required
COM Electives *
Select all that apply
Required
COM Involvement *
Select all that apply
Required
Undergraduate Activities *
Select all that apply
Required
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