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  1. University of Arkansas for Medical Sciences
  2. Regional Campuses
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  5. Honors in Underserved Primary Care HUPC
  6. Honors in Underserved Primary Care Application

Honors in Underserved Primary Care Application

HUPC

Part 1: APPLICANT INFORMATION

MM slash DD slash YYYY
Name(Required)
Home/Permanent Address(Required)
Current Address(Required)
Ethnicity(Required)
Gender(Required)
Race(Required)
Veteran Status(Required)

Part 2: ACADEMIC INFORMATION

MM slash DD slash YYYY
MM slash DD slash YYYY

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)
You have received or currently receive a scholarship or loan for disadvantaged students.(Required)
While growing up, you or your family ever used or received federal or state assistance programs, such as free or reduced school lunches, subsidized housing, food stamps, or Medicaid.(Required)
You grew up in a medically underserved area (i.e. people who face economic, cultural, or linguistic barriers to adequate healthcare).(Required)
You grew up in a rural/urban/suburban environment.(Required)

Part 4: INTENT

I intend to work in a primary care setting (i.e., Family Medicine, General Internal Medicine, General Pediatrics, or General OB/GYN).(Required)
I intend to work with people who are medically underserved (i.e., people who face economic, cultural, or linguistic barriers to adequate healthcare).(Required)
I intend to work in a rural underserved area.(Required)
I intend to work in an urban underserved area.(Required)
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Phone: (501) 686-7000
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