This application form must be typed and returned with all required documentation.

A personal interview is mandatory.

Please note that an incomplete application cannot be processed.

Qualifications: 

Applicant must: 

1) be a medical student of Hellenic heritage, originating from New York, Connecticut, New Jersey or Pennsylvania 

2) have completed an entire first-year matriculation in a U.S. accredited medical school located in the United States 

3) have demonstrated academic achievement and/or financial need.