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Wichita County Medical Alliance

Physicians' Families United To Care

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WCMA Scholarship Application

The due date for applications is set by The Wichita County Medical Alliance and is June 30, 2023.

  • PREVIOUS EDUCATION: HIGH SCHOOL AND/OR COLLEGE INFORMATION

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  • Financial Information

  • EmployerPositionHours per week 
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  • Tax Returns

    Attach a copy of pages 1 and 2 of the previous year’s tax return
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    Black out any sensitive information. You may also mail it to Wichita County Medical Alliance Attn Director of Scholarship P.O. Box 1030 Wichita Falls, TX 76307-1030
  • References

    Attach documents from 2 references: 1-2 non-related adult references who are teachers and/or 1 non-related adult reference from someone that has known you more than one year.
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  • Essay

    Provide in 200 –300 words, an essay describing, “Why you want to pursue a medical career”. Please include specific information such as your career goals, personal challenges, motivating factors, life goals, work experience, and any other awards or experience that will help us in evaluating your application. Please use the essay to explain your financial need and how this scholarship is useful to you along with other family support you receive. Please take this seriously; be thorough and complete. The essay must be the Applicant’s original work.
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  • Date Format: MM slash DD slash YYYY
  • I certify that all of the information on this form is accurate and complete to the best of my knowledge. The application package becomes the property of the Wichita County Medical Alliance Scholarship Committee and will not be returned or acknowledged. Falsification of information may result in termination of any scholarship granted. I further certify that the essay included is my original work. I understand that all references are confidential and that no one, including myself, other than the Selection Committee members, may examine them. I certify that my gross income level indicated on this form is accurate and complete to the best of my knowledge. If chosen as a scholarship recipient, I commit to submitting a brief quote expressing how I will benefit from the scholarship within 7 days of being notified of the award and grant permission for such quote to be included in WCMA communications along with my name and academic institution.

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