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Healthcare Scholarship Application

General Information: Section A

Please check the box that describes your current status:*

Applicants to Undergraduate Programs: Section B

Dates Attended From
Preference will be given to students who have previous health related experience.
Have you been accepted for enrollment or are you currently enrolled*:*

Are you enrolled full-time or part-time?*:*

Will you be employed during the academic year?:*

Primary source of financial support*:*

Have you received a scholarship from the Foundation of YRMC before?*:*

Are you planning to work within Yuma County at least one year upon completion of program?*:*

Attach the following documents (Word or PDF format)
(Please use times new roman font, 12 point and do not exceed two pages.)
(Academic source for reference attesting to accomplishments and scholastic merit)
(Any other source for reference)

Applicants to Graduate and Doctoral Programs: Section C

i. (Acceptance letter must include your declared field of study and date of acceptance into educational institution.)
Are you currently enrolled or accepted into an accredited program*:*

Are you planning to work in Yuma County for at least one year following the end of this award?*:*

Are you currently an employee of YRMC?*:*

Attach the following documents (Word or PDF Format):
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