Harold H. Hedges III, M.D., Endowed Scholarships for Family Medicine | UAMS Department of Family and Preventive Medicine

Name(Required)

First Last

Permanent Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name and address of undergraduate education(Required)

Degree(Required)

Major(Required)

Minor(Required)

Date finished degree(Required)

Name and address of graduate information (if applicable)(Required)

List and explain briefly any honors and awards you have received since you began college. Begin with the most recent honor or award. Include dates you received the honors and awards. Please highlight awards that are a result of exemplary leadership skills or highlight community service.(Required)

Briefly explain your leadership skills and describe activities when you demonstrated these skills. List awards for leadership.(Required)

List and explain briefly any activities you have been involved in since you began college. List offices held, tutoring, and committees. Begin with the most recent activity. Include dates you participated in these activities. Describe how each activity has furthered your commitment to Family Practice.(Required)

List extracurricular activities that you were involved in such as tutoring, community activities, volunteer work, etc. List amount of time spent on each of these activities. Describe as a family physician, how you might set an example for community service and assist with addressing the medical needs of the less fortunate.(Required)

List your clinical experiences such as research or preceptorships. List amount of time spent on each of these activities. Describe how these activities furthered your commitment to Family Practice.(Required)

Please tell us about your personal interests or any other information the review committee should consider (i.e., hobbies, family, travel, favorite books, your personality, etc.).(Required)

Describe how you would practice compassionate medicine. Include how the importance of the fundamental human relation between doctor and patient would contribute to your role as a family physician.(Required)

In 250 words or less, describe how your desire to become a family physician developed, strengths and skills you have obtained to further your commitment to Family Practice, future career goals, and how you developed into the person and professional you are today. (Include this as a separate sheet, please include your name on the attachment.)(Required)