JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
The Max Gorin Scholarship
Please fill out the form completely to be considered for the Max Gorin 2021-2022 Scholarship.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Name of College or University
*
Your answer
Healthcare in America is a frequently debated topic. Do you believe an individual’s ability to obtain higher education can impact their long-term quality of health? Why or why not?
*
Write a 400-word essay answering the above question.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of DiamondLinks.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report