2013 PAGH Student Scholarship Application General Requirements: Current PAGH member Applicants must be enrolled in an ARC-PA accredited Physician Assistant program Applicant cannot be a current PAGH board member or other employee or PAGH volunteer involved with financial decision making Applicants must send a letter from their university stating the applicant is in good standing with their academic institution Applicants must submit a written essay, minimum 500 words, addressing essay question listed below on application. We advise the student covers topics such as international PA work ,working with underserved populations as a PA, educational objectives for going on such an international rotation, students future career goals Recipients must sign a written agreement stating that the amount of the scholarship is not otherwise provided by the applicant’s program or other donors; that they are in fact in financial need of the scholarship amount; and that any PAGH funds received will be used solely to fund the cost of the trip or rotation. Recipient of the scholarship will also be asked to write a post-trip article to be submitted to the PAGH newsletter – scholarship candidates are also encouraged to contribute All portions of application are due no later than 11:59pm PST on April 14, 2013 Please email this application to pasforglobalhealth@gmail.com subject 2013 Scholarship application: your name Letters from your university can be emailed or mailed to: PAGH c/o Harmony Johnson, PO Box 11131 Norfolk, VA 23704 Questions regarding this scholarship or application can be directed to the PAGH email Candidate Name: Contact information: Address: Cell: Email: 1. What PA program do you attend? 2. What year are you? Expected graduation date? 3. Where is your international/ rotation? 4. Is the rotation organized through your school? If not with which organization will you be traveling? Please provide us with contact person who can verify your participation. 5. What patient population will you be working with? 6. What disease states? 7. Dates of rotation: 8. Estimated cost to you: 9. Essay (500 word minimum): “As PAs and the PA model become more prevalent in industrialized nations, more non-governmental organizations are also using PAs. Hooker et al likens PA presence as a pseudo ambassadorship of the profession to other nations, ‘Pioneers in novel health care delivery’…” Please discuss this quote and physician assistants in global health. We advise that you address topics such as international PA work, advancement of the PA profession, working with underserved populations as a PA, educational objectives for going on an international rotation, your future career goals and your desire to work with underserved populations. How would an international rotation benefit your future career goals? Application check list: o Application o Letter from your academic institution (emailed or mailed) o Contact person for your international rotation o Essay o Letter of recommendation o All portions of application are due no later than 11:59 PST on April 14, 2013. pasforglobalhealth@gmail.com Please put in subject: 2013 scholarship application: your name Letters from your university can be emailed or mailed to: PAGH c/o Harmony Johnson, PO Box 11131 Norfolk, VA 23704 Questions regarding this scholarship or application can be directed to the main PAGH email as well