Wednesday, September 8, 2010
2010 Application Form

Fields marked with * are required.

 2010 WINSTON HEALTH POLICY SCHOLARSHIP APPLICATION
First Name *
Last Name *
School Address *
Permanent Address *
Email *
Phone *
Academic Program / University in which you are curently enrolled: *
Number of terms (indicate semesters / trimesters / quarters) completed. *
Anticipated Graduation Date *
Current Cumulative GPA *
Standardized Test Score (indicate which test): *
Please upload your current resume (MS Word Document or PDF only).
Please upload your personal statement indicating your interest in/commitment to health policy and your career goals. (See application materials for more guidance on what this statement should include). *
Faculty Letter of Nomination (if you have in PDF format with signature, otherwise mail or fax to 703.842.8463)
Preceptor/Mentor/Employer Letter of Recommendation (if you have in PDF format with signature, otherwise mail or fax to 703.842.8463)
Standardized Test Score(s) Report (if you have in PDF format, otherwise mail or fax to 703.842.8463)

In addition to this application form and the electronic documents that you have uploaded, the following additional materials should be mailed to the address below and received no later than Friday, May 7th, 2010.

Winston Health Policy Scholars Program
c/o AUPHA
2000 14th Street North
Suite 780
Arlington, VA 22201

Additional Materials

  • Official Transcripts from all higher education institutions attended must arrive at AUPHA prior to Friday, May 7th, 2010.

For more information on these materials, refer to the previous page.

Questions? Email mhaynes@aupha.org