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Contact Us
Regional Campuses
UAMS East – Helena
UAMS Northeast – Jonesboro
UAMS Northwest – Fayetteville
UAMS North Central – Batesville
UAMS South – Magnolia
UAMS South Central – Pine Bluff
UAMS Southwest – Texarkana
UAMS West – Fort Smith
Current Students
AHEC Scholars Program
RMSLA
Family Medicine Interest Group
Honors Program in Underserved Primary Care Medicine
Student Ambassador Program
MD Mentor Program
M1 Students
M1 Summer Programs
M2 Students
M3 Students
M4 Rotations
Scholarship Opportunities
Conference Opportunities
Prospective Students
Meet Our Recruiters
MD2B
Regional Campuses Booklet
Find Your Future In Health Care
Residency
UAMS Northeast – Jonesboro
UAMS Northwest — Fayetteville
UAMS South — Magnolia
UAMS South Central — Pine Bluff
UAMS Southwest — Texarkana
UAMS West — Fort Smith
UAMS North Central — Batesville
Residency and Post-Residency Scholarship Opportunities
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The Honors Program in Underserved Primary Care Medicine
The Honors Program in Underserved Primary Care Medicine
The Honors Program in...
Honors Program Application
This is the application for the Honors Program in Underserved Urban and Rural Primary Care Medicine.
Part 1: APPLICANT INFORMATION
Date
- must be mm/dd/yyyy format
*
Required
MM slash DD slash YYYY
Name
*
Required
First
Last
Email
*
Required
Phone
*
Required
Home/Permanent Address
*
Required
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Current Address
*
Required
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Highschool Attended
*
Required
Highschool City/State
*
Required
Gender
*
Required
Female
Male
Ethnicity
*
Required
Hispanic/Latino
Non-Hispanic/Latino
Race
*
Required
American Indian/ Alaskan Native
Asian
Black or African American
Native Hawaiian/ Pacific Islander
White/Caucasian
Two or More Races
Veteran Status
*
Required
No Military Service
Active Duty Military
Reservist
Veteran (Prior Service)
Veteran (Retired)
Part 2: ACADEMIC INFORMATION
Academic Program Start Date
- must be mm/dd/yyyy format
*
Required
MM slash DD slash YYYY
Anticipated Graduation Date
- must be mm/dd/yyyy format
*
Required
MM slash DD slash YYYY
Desired Health Career
*
Required
Part 3: FAMILY/BACKGROUND
Please answer Yes or No to the following questions:
You are the first generation in your family to attend college.
*
Required
Yes
No
You currently receive a scholarship or loan for disadvantaged students.
*
Required
Yes
No
While growing up, you or your family ever used or received federal or state assistance programs, such as free or reduced school lunch, subsidized housing, food stamps, or Medicaid.
*
Required
Yes
No
You grew up in a medically underserved area.
*
Required
Yes
No
I grew up in a rural/urban environment.
*
Required
Rural
Urban
Suburban
Part 4: INTENT
I intend to work in a primary care setting (i.e., Family Medicine, General Internal Medicine, or General Pediatrics).
*
Required
Definitely
Probably
Maybe
Probably Not
Not At All
I intend to work with people who are medically underserved (i.e., people who face economic, cultural, or linguistic barriers to adequate healthcare).
*
Required
Definitely
Probably
Maybe
Probably Not
Not At All
I intend to work in a rural area.
*
Required
Definitely
Probably
Maybe
Probably Not
Not At All
What are the things which most interest and inspire you about our Honors Program? Why do you think this Honors Program will be valuable to your education and future career? Please be as brief or descriptive as you like.