Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
####
ACHE ID #
*
What scholarship are you applying for?
*
Education & Employment
*
Please provide your Current Position/Title, Organization, Highest Degree Obtained, Year Obtained, School Name
Community Service
*
Please list and briefly describe your community service work with underprivileged communities or patient populations. List: Organization/Activity, Role and Responsibilities, Dates of Involvement, Impact and Outcomes.
Extracurricular Activities
*
List any additional extracurricular activities, professional associations, or volunteer work. Please include activity/organization, your role/position and dates of involvement.
Thank you for submitting your application for our Scholarship!
We appreciate your interest in this opportunity and the time you invested in the application process. As an organization dedicated solely to developing future healthcare leaders, we conduct a thorough and deliberate selection process. Our review includes:
- Careful evaluation of all application materials
- Assessment of community impact and leadership potential
- Consideration of experience and qualifications
- Alignment with specific scholarship criteria
The review process typically takes 3-4 weeks. We will notify you of your status and any next steps once the evaluation is complete. In the meantime, we encourage you to:
- Learn more about our mission at [www.hlnyfoundation.org ]
- Connect with the Healthcare Leaders of New York chapter at [www.hlny.org ]
- Consider attending upcoming HLNY events to expand your professional network
We value your commitment to healthcare leadership and appreciate your interest in the Foundation.
Sincerely,
Foundation for Healthcare Leaders of New York
