Scholarship Application Scholarship Application - Step 1 University Details University in which you are Currently Enrolled * Alma CollegeAppalachian State UniversityArmstrong Atlantic State UniversityArmy-Baylor UniversityA.T.Still UniversityAuburn UniversityAugusta UniversityBarry UniversityBaruch CollegeBaylor UniversityBoston University School of Public HealthBrown UniversityChico - State UniversityCalifornia State University - Long BeachCalifornia State University, Los AngelesCalifornia State University, NorthridgeCarnegie Mellon UniversityCentenary CollegeCentral Michigan UniversityCharles R. Drew University of Medicine and ScienceClaremont Graduate UniversityClayton State UniversityCollege of Saint ElizabethColorado School of Public HealthColumbia UniversityConcordia CollegeConcordia University - PortlandConcordia University-IrvineCornell University/Sloan Program in Health AdministrationCUNY School of Public HealthDalhousie UniversityDartmouth - Geisel School of Medicine MPH ProgramDavenport UniversityDes Moines UniversityDillard UniversityDrexel University Dornsife School of Public HealthEast Carolina UniversityEast Tennessee State University College of Public HealthEastern Kentucky UniversityEastern Michigan UniversityEastern Virginia Medical School - Old Dominion University MPH ProgramEastern Washington UniversityEdgewood College, School of BusinessEmory University Rollins School of Public HealthFlorida A&M UniversityFlorida International UniversityFranklin University-ColumbusGeorge Mason UniversityGeorge Washington UniversityGeorgetown UniversityGeorgia Southern UniversityGeorgia State UniversityGovernors State UniversityHarvard T.H. Chan School of Public HealthHofstra University MPH ProgramHoward UniversityIcahn School of Medicine at Mount SinaiIdaho State UniversityIndiana University at IndianapolisIndiana University School of Public Health - BloomingtonJames Madison UniversityJefferson College of Health SciencesJohns Hopkins UniversityJohns Hopkins Bloomberg School of Public HealthKent State University College of Public HealthKings CollegeLake Erie College of Osteopathic MedicineLeTourneau UniversityLoma Linda University School of Public HealthLouisiana State University Health Sciences Center School of Public HealthLoyola University ChicagoMary Baldwin CollegeMarymount UniversityMedical University of South CarolinaMercer University Master of Public Health ProgramMercy College of OhioMethodist UniversityMetropolitan College of New YorkMetropolitan State University of DenverMidway CollegeMinnesota State University MoorheadMontana State University - BillingsNational Institute of Public Health of MexicoNational Taiwan University College of Public HealthNational UniversityNational UniversityNew York Medical College, School of Health Sciences and Practice, & Institute of Public HealthNew York UniversityNortheastern University Master of Public Health Program in Urban HealthNorthwestern University Feinberg School of Medicine Program in Public HealthOhio State UniversityOld Dominion UniversityOregon Health & Science UniversityOregon State UniversityOur Lady of the Lake CollegePacific UniversityPennsylvania College of Health SciencesPennsylvania State UniversityPfeiffer UniversityPortland State UniversityRobert Morris UniversityRush UniversityRutgers School of Public HealthRyerson UniversitySaint Leo UniversitySaint Louis UniversitySan Diego State UniversitySeton Hall UniversitySimmons CollegeSouth UniversitySouthern Illinois University - CarbondaleSt. George's University Department of Public Health and Prevention MedicineStevenson UniversityStony Brook University Program in Public HealthStonehill CollegeSuffolk UniversitySUNY Downstate Medical Center School of Public HealthTemple UniversityTennessee State UniversityTexas A&M Health Science CenterTexas A&M University - Corpus ChristiTexas Southern UniversityTexas State UniversityTexas Tech UniversityTexas Woman's University HoustonThomas Jefferson University, College of Population Health - MHP ProgramTouro University - California MPH ProgramTowson UniversityTrinity UniversityTufts University School of Medicine, Public Health ProgramTulane UniversityUniformed Services University of Health ScienceUnion Graduate CollegeUniversite De MontrealUniversity of AlabamaUniversity of Alabama at BirminghamUniversity at Albany SUNY School of Public HealthUniversity of Arkansas for Medical SciencesUniversity of BaltimoreUniversity at Buffalo School of Public Health and Health ProfessionalsUniversity of Alabama at Birmingham School of Public HealthUniversity of Alberta School of Public HealthUniversity of Arizona Mel and Enid Zuckerman College of Public HealthUniversity of Arkansas fro Medical Sciences Fay W. Boozman College of Public HealthUniversity of California - Los AngelesUniversity of California, Berkeley School of Public HealthUniversity of California, Davis MPH ProgramUniversity of California, Irvine Program in Public HealthUniversity of Central FloridaUniversity of CincinnatiUniversity of Colorado DenverUniversity of Colorado Denver/Network for Healthcare ManagementUniversity of Detroit MercyUniversity of FloridaUniversity of Georgia College of Public HealthUniversity of Illinois at ChicagoUniversity of IowaUniversity of Kansas Medical CenterUniversity of KentuckyUniversity of Louisville School of Public Health and Information SciencesUniversity of Maryland School of Medicine, MPH ProgramUniversity of Maryland School of Public HealthUniversity of Massachusetts - Amherst School of Public Health and Health SciencesUniversity of MemphisUniversity of MiamiUniversity of MichiganUniversity of Michigan - FlintUniversity of Michigan School of Public HealthUniversity of MinnesotaUniversity of Minnesota - DuluthUniversity of Minnesota School of Public HealthUniversity of MissouriUniversity of Mount OliveUniversity of Nebraska Medical Center College of Public HealthUniversity of Nevada - Las VegasUniversity of Nevada, Reno School of Community Health SciencesUniversity of New HampshireUniversity of New Mexico Public Health ProgramUniversity of North Carolina at Chapel HillUniversity of North Carolina at CharlotteUniversity of North Carolina Gillings School of Global Public HealthUniversity of North FloridaUniversity of North Texas Health Science CenterUniversity of Oklahoma Health Sciences CenterUniversity of Pennsylvania Master of Public Health ProgramUniversity of PittsburghUniversity of Puerto Rico - Medical Science CampusUniversity of Saint ThomasUniversity of San Francisco MPH ProgramUniversity of ScrantonUniversity of South CarolinaUniversity of South DakotaUniversity of South FloridaUniversity of Southern CaliforniaUniversity of Texas at ArlingtonUniversity of Texas at TylerUniversity of Texas Health Science Center at HoustonUniversity of Texas Medical Branch at Galveston Graduate Program in Public HealthUniversity of Texas School of Public HealthUniversity of the Incarnate WordUniversity of TorontoUniversity of UtahUniversity of Virginia MPH ProgramUniversity of Washington - SeattleUniversity of Wisconsin - MilwaukeeVanderbilt University Institute for Medicine and Public HealthVirginia Commonwealth UniversityWalden University Master of Public Health ProgramWashington State UniversityWashington University in St. LouisWeber State UniversityWestern Kentucky UniversityWest Virginia University School of Public HealthWinston-Salem State UniversityWinthrop UniversityXavier UniversityYale School of Public Health Note: If your university does not appear in the list above then it is not a Full or Associate Candidate Member of AUPHA or ASPPH. You must be enrolled in one of the universities listed in order to be eligible for the Fellowship. Degree Program in which you are enrolled * Anticipated Graduation Date * Attachments The following documents should be uploaded into the application form in either MS Word or PDF format. You may submit the form without them and log in to upload them to your account later. Current Resume (Word or PDF) Name as follows: "YourLastName - Resume". Allowed types: doc, docx, pdf. Max file size: 10 MB Personal Statement (Word or PDF) Name as follows: "YourLastName - Personal-Statement". Allowed types: doc, docx, pdf. Max file size: 10 MB The following documents may be uploaded if you have them as a PDF, or you may fax or email them to the Fellowship office by the deadline. Please note that all letters of recommendation must be on the personal or organizational letterhead of the individual writing the letter and must be signed. Faculty Letter of Recommendation (PDF only) Name file as follows: "YourLastName - LOR1". Allowed type: pdf. Max file size: 10 MB Preceptor/Employer Letter of Recommendation (PDF only) Name file as follows: "YourLastName - LOR2". Allowed type: pdf. Max file size: 10 MB Undergraduate Transcript Showing Degree Earned Name file as follows: "YourLastName - UGTranscript". Allowed type: pdf. Max file size: 10 MB While we do not need an official sealed transcript, we cannot accept a transcript that you generate yourself from a website. It must either be a copy of a transcript printed by the registrar or sent from the registrar. It is possible to have the registrar email transcripts directly to the Fellowship at email@example.com Current Graduate Transcript (through Summer 2014) Name file as follows: "YourLastName - GradTranscript". Allowed type: pdf. Max file size: 10 MB Note: While we do not need an official sealed transcript, we cannot accept a transcript that you generate yourself from a website. It must either be a copy of a transcript printed by the registrar or sent from the registrar. It is possible to have the registrar email transcripts directly to the Fellowship at firstname.lastname@example.org Additional transcript(s)--Up to 3 files may be uploaded. Other Transcript Name file as follows: "YourLastName - OtherTranscript". Allowed type: pdf. Max file size: 10 MB Other Transcript Name file as follows: "YourLastName - OtherTranscript". Allowed type: pdf. Max file size: 10 MB Other Transcript Name file as follows: "YourLastName - OtherTranscript". Allowed type: pdf. Max file size: 10 MB Please review all of your entries. You may go back if you wish to make changes. Hit Submit when done.