Scholar Application Form

This document is the property of UHAND and may not be used, distributed, or reproduced outside of the University of Houston or MD Anderson. The information provided will be kept confidential and is strictly for record keeping purposes within our institutional database stored on a secure server. 

SECTION I:  CONTACT INFORMATION

8. Residential Status

SECTION II:  DEMOGRAPHICS

11. Race and Ethnicity - Check all that apply
12. Regardless of how you answered the previous question... Are you Hispanic or Latino? Check one box.
13. Mother’s Highest Degree - Check one box
14. Father’s Highest Degree - Check one box
15. Are you from a Disadvantaged Background? Check one box.

An individual from a disadvantaged background is defined as one who comes from an environment that has inhibited the individual from obtaining the knowledge, skill, and abilities required to enroll in and graduate from a health professions school, or from a program providing education or training in an allied health profession; or comes from a family with an annual income below a level based on low income thresholds according to family size published by the U.S. Bureau of Census, adjusted annually for changes in the Consumer Price Index, and adjusted by the Secretary, HHS, for use in health professions and nursing programs.

16. Are you the first individual in your family to attend college? Check one box.
18. Classification (as of Summer/Fall 2020)
17. Are you the first individual in your family to graduate from college? Check one box.

20. GRE (Doctoral students only) (include score and percentile):  

21. Biological Sex at Birth

Add documents

Please attach the following documents to your application:

Application Checklist
Max File Size 15MB
Unofficial Transcript
Max File Size 15MB
Resume/CV
Max File Size 15MB
Head Shot
Max File Size 15MB
Personal Statement
Max File Size 15MB

The UHAND Partnership is funded by the National Cancer Institute (P20CA221696 and P20CA221697).

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