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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

Please check if you attended:

Dates Attended From
Did you graduate from this institution*?:

Preference will be given to students who have previous health related experience.
Is this academic institution an online oriented program?*:

Have you been accepted for enrollment or are you currently enrolled*:

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

Current Year*:

Current Field of Study:

Will you be employed during the academic year?*:

Primary source of financial support*:

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

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

Attach the following documents (Word or PDF format)
Topic: What are your educational plans upon graduation?
Please use times new roman font, 12 point and do not exceed two pages.
Letter content should attest to academic accomplishments and merit.
Please ensure acceptance letter is from institution with program declaration present.

Applicants to Graduate and Doctoral Programs: Section C

Are you currently enrolled or accepted into an accredited program?*:

Are you currently an employee of YRMC?*:

Attach the following documents (Word or PDF Format):
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