2023 - 2025 AHEC Scholars Yearbook Collection

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* 1. What is your first and last name?

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* 2. Please write a brief bio statement (Where were you born and raised? What program will you be graduating from? Long-term professional goals? Hobbies/interests?). Please write this statement in first person.

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* 3. Finish this statement… I want to work in a rural and/or underserved community because __________ (fill in the blank).

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* 4. Finish this statement...I am excited about AHEC Scholars because ______________ (fill in the blank).

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* 5. What is your expected date of graduation from your primary program?

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* 6. Upload a headshot and a couple of photos that you think tell the story of who you are. If you wish to not be shared on our social media sites, please let me know.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 7. Additional Photo

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 8. Additional Photo

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 9. Additional Photo

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.