​Greensboro Medical Society

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​If you have any questions or concerns, please contact us.
336-517-7230 - phone
contact@greensboromedicalsociety.com

    Medical / Dental Preparation Scholarship Application Details

    Max file size: 20MB
    Educational History:College or University level (List current or most recent first).
    Employment History
    ​Name of employer and address (List current or most recent first):
    Personal Reference of two individuals not related to you who we may contact
    Demographic Information
    In consideration of my scholarship application for the Greensboro Medical Society Foundation Scholarship, I hereby understand and agree that I have obtained the attached application on my own freewill, and such application has been provided to me with no written or implied conditions or special considerations. I hereby agree to indemnify and hold harmless the Greensboro Medical Society Foundation, its governing Board, and members from any and all liability pertaining to: (i) any inquiries related to my application; and (ii) whether my application is selected for a scholarship award. I affirm by my signature below that the above information is correct to the best of my knowledge. I further agree that if I am awarded a scholarship, and I do not take a prep course for entrance into healthcare professional school, I will contact the Greensboro Medical Society Foundation and the money will be immediately refunded by me to the Greensboro Medical Society Foundation, and I agree to repayment enforcement based upon North Carolina statutes. In addition, I acknowledge that I will allow members of the Greensboro Medical Society Foundation Scholarship Committee or Greensboro Medical Society Foundation to contact any references, past employers or educational institutions listed in this application
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