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Rural Health Workforce Initiative Scholarship
Rural Health Workforce Initiative Scholarship
Student Name
Date of Birth
Student UCCS Email
Student ID Number
Program Option
?
Student Address
Student Address
Address 2
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
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California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
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Indiana
Iowa
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Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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New Hampshire
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New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
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Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
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Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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- None -
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Colorado County
Student Phone Number
Most Recent GPA:
?
Anticipated Graduation Date:
?
Please describe how you plan to fulfill your commitment to work in a rural or frontier area in Colorado for two years after graduation with your degree. (Please respond with a 150 to 200 word answer.)
?
What skills or characteristics do you possess that will make you a successful healthcare provider in a Colorado rural or frontier setting? (Please respond with a 150 to 200 word answer.)
?
What strategies do you see that might help improve the health of Coloradoans living in a rural or frontier county? (Please respond with a 150 to 200 word answer.)
?
What interests you about this scholarship? (Please respond with a 150 to 200 word answer.)
?
Have you been or are currently employed in healthcare in a rural or frontier area? If yes, please describe.
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