Application for FCMSC Medical Student Research Scholarship 2025

Application for FCMSC Student Research Scholarship 2025

Application for FCMSC Medical Student Research Scholarship 2025

Applications are due 2pm Eastern time, April 11, 2025.

Scholar Name:

First Name

Last Name

Scholar Address:

Scholar City, State, Zip Code:

Scholar Email:

Scholar additional email:

Scholar Primary Phone

Undergraduate School:

Degree:

Year of Graduation

Medical School

Year of Scheduled Graduation

Other Degrees, if any:

Title of Research Project:

Proposed Research Laboratory or Institution:

MS Research Mentor

Mentor Credentials:

Mentor Address:

Mentor City, State, Zip Code:

Mentor Phone:

Mentor Email:

Please provide the following additional information with this application form:

Brief personal statement from applicant (limit to one page) AND a CV.
2–4-page summary of proposed research project (not including references), describing: background/rationale, hypothesis, specific aim(s), overview of methods to be employed and proposed presentation or publication plans.
Letter of recommendation and support from proposed mentor, stating commitment, plans for the student’s project, potential follow-up and description of student’s role in carrying out this project.

Incomplete applications will not be reviewed.

Signature:

Date:

Please return your application to Nancy Chazen, FCMSC Program Administrator, via email no later than 2pm Eastern time, April 11, 2025.
Email: nancy.chazen@mscare.org

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