ACG Summer Scholars Program - Student Application - American College of Gastroenterology

First Name*

Last Name*

Medical School*

What year of Medical School are you currently in?*

First Year of Medical School
Second Year of Medical School
Third Year of Medical School
Fourth Year of Medical School

Phone*

Email Address*

What is your racial and ethnic identification?*

Black or African American
Hispanic/Latino
Native American (American Indian, Alaska Native and Native Hawaiian)
Mainland Puerto Rican
Pacific Islander

Do you have other commitments this summer?*

Yes
No

Upload a copy of your CV. (PDF or DOC)*

Accepted file types: doc, docx, pdf, Max. file size: 50 MB.

Upload a Letter from your Dean verifying your academic good standing and your institutions travel policy for this summer. (PDF or DOC)*

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Upload Essay 1: What are your overall career goals? (750 Word Limit; PDF or DOC)*

Accepted file types: doc, docx, pdf, Max. file size: 50 MB.

Upload Essay 2: Why would you like to participate in the ACG Summer Scholars Program? (750 Word Limit; PDF or DOC)*

Accepted file types: doc, docx, pdf, Max. file size: 50 MB.

Letter of Recommendation #1: Enter the name of the individual submitting a letter of recommendation and ask them to email their letter directly to Vaidehi at vgajjar@gi.org.*

Letter of Recommendation #2: Enter the name of the individual submitting a letter of recommendation and ask them to email their letter directly to Vaidehi at vgajjar@gi.org.*

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