Shaping Xavier Scholarship

Personal Information

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Email*

Phone*

Semester you intend to start*

Class*

Scholarship Information

Are you a US or Canadian citizen?*

Please upload a copy of your Passport photo page here.*

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Do you have an MCAT score over 500?*

Please upload your MCAT results here. *

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Was your cumulative undergraduate GPA a 3.5 or higher? *

Please upload your undergraduate unofficial transcript.*

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Please submit a personal essay (no more than 600 words) about why you want to attend Xavier University School of Medicine and why you should receive this prestigious full tuition scholarship.*

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I have read and acknowledge the scholarship terms above and understand that a scholarship is not guaranteed to be given to me and may be revoked if terms are not met.

Signature*

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Use your mouse or finger to draw your signature above