UME William Jeffery Scholarship in Undergraduate Medicine

Fields denoted by an asterisk (*) are required.

Name of Nominator Name of Nominator First Last
Email address of Nominator
Name of Nominee Name of Nominee First Last
Email Address of Nominee
Program Location of Nominee
Program Year of Nominee
SELF NOMINATIONS ARE NOT PERMITTED FOR THIS AWARD

We are looking for students who have shown outstanding commitment to an activity which reflects social accountability and community service. This may include volunteer and/or mandatory service learning.
Provide specific examples of how your nominee has contributed to a community organization, supported a social cause, or engaged in volunteer work. Highlight how they initiated or inspired positive change or improved the lives of others.
Maximum of 1000 words allowed. Currently Entered: 0 words.
Briefly explain why you believe your nominee's effort deserve recognition.
Maximum of 500 words allowed. Currently Entered: 0 words.
Please Note: Nominees will be contacted to provide their CV.
Additional Comments
Maximum of 100 words allowed. Currently Entered: 0 words.