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McDaniel's Scholarship Application

Foundation of Yuma Regional Medical Center
Richard Michael McDaniel Scholarship Application 2014

* Indicates required information
Last Name: * 
First Name: * 
Street Address: * 
City: * 
State: * 
Zip Code: * 
Phone Number: * 
E-Mail Address: * 
Date of Birth: *  Calendar (mm/dd/yyyy)
Resume / Curriculum Vitae: 
Current transcripts or acceptance letter: 
Work Experience / Briefly describe your experience to date in providing oncology-related care: * 
What degree are you currently pursuing (that would be funded with this Scholarship)?: * 
Are you currently enrolled or accepted into an accredited program?: * 

Name of School: * 
Name of Program: * 
Are you planning on working in Yuma County for at least one (1) year following the end of this award?: * 
Describe how this award will enhance the quality of care that you provide to patients with cancer: * 
If you are awarded a Scholarship, the Foundation will expect you to apply your expertise to providing quality cancer care here in Yuma County for at least one (1) year following the end og the award. Please describe how you will do this: * 
Scholarship Request Amount: * 
Authentication * 

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© 2014   Yuma Regional Medical Center  |  2400 S. Avenue A  |  Yuma, AZ 85364  |  928-344-2000