2023 SNaHP Summit / PNHP Annual Meeting / Leadership Training Nick Skala Student Activist Scholarship Application
Please read all these instructions and the application questions carefully, and be thoughtful in your responses.

Thank you for your interest in the Nicholas Skala Student Activist Scholarship to SNaHP 2023 Summit, PNHP Annual Meeting and Leadership Training in Atlanta, Georgia on Friday, November 10 and Sunday, November 12. Please fill out this application to be eligible for funding to help cover 60-70% of travel expenses, housing, and registration cost during the conference. Scholarship recipients will be housed at the Crowne Plaza Midtown, Atlanta Georgia the conference hosting site.

Scholarship awards are available only to current SNaHP students and medical residents at this time. Please do not apply if you are not a SNaHP student or resident.

***Please note that the Annual Meeting and Leadership Training registration fee is not waived if you receive a scholarship, all students must register for the Annual Meeting (and Leadership Training, if applicable) before they can receive an award from PNHP***

We are a small, non-profit organization and want to support as many students as possible to attend the Annual Meeting, so we appreciate applicants who explore additional funding options (from school, family, chapter fundraisers, etc.).

The deadline to apply for this scholarship is September 20, 2023 at midnight PST.  Students will be notified of their award status October 6, 2023 prior to the SNaHP Summit, Annual Meeting and Leadership Training.

We anticipate a high volume of scholarship applications. Please let us know as soon as possible if you are not able to accept your award so that we may help another student on the wait list.

Please write Lori Clark at lori@pnhp.org if you have questions.
Sign in to Google to save your progress. Learn more
Full Name  *
Email  *
Cell Phone  *
Medical School/Residency Program  *
Current Mailing Address (if selected, scholarship checks will be sent here) *
I hope to attend: *

SNaHP is dedicated to increasing the participation and fostering the leadership of women and minorities within SNaHP and the broader medical community.    The definition of underrepresented in medicine means those racial and ethnic populations that are underrepresented in the medical profession relative to their numbers in the general population.  Are you a person that is underrepresented in medicine? 

Do you need housing assistance at the SNaHP summit?  If yes and you are selected for a scholarship with housing, PNHP will reserve a spot for you in a shared room with other students at the Crowne Plaza Midtown  *
If you need housing assistance, do you have any specific room requests? (Please list the names of other students you want to room with, if you prefer a room with all-women or all-men, a room with students from your school, etc. We cannot accommodate private rooms for couples, as rooms will be booked at more then 2 per room. We will try our best but cannot guarantee that we can accommodate all room requests. )
What skills would you want to expand, grow and/or gain  *
Why do you want to attend the SNaHP summit, PNHP Annual Meeting and/or Leadership Training?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Physicians for a National Health Program. Report Abuse