Scholarship Application – Commonwealth University College of Medicine

CUCOM Scholarship Application

Commonwealth University College of Medicine

CUCOM Scholarship Application

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Name

First

Last

Phone

First

Last

Experience: Community Name

Student Entry Term

Country of Citizenship

Community Impact:

Share an example of your involvement in community service and how it has shaped your desire to pursue medicine. Please be sure to include any specific community involvement within Ocean or Monmouth County, as well as CUCOM. (75-100 words)

Leadership Experience:

Describe a leadership role you’ve taken on and how it has contributed to your personal or professional growth (75-100 words)

Financial Need:

If applicable, briefly explain any financial challenges you have faced and how this scholarship would support your medical education. (75-100 words)

T&C

By submitting this form, I am consenting to calls, prerecorded messages, messages created by generative artificial intelligence, emails and/or texts regarding my educational options from CUCOM and its contractors using an automated dialing system to the number and email address provided. I understand my consent is not required to enroll at CUCOM, and that I can withdraw my consent at any time.