Scholarship Recipient Form

SCHOLARSHIP RECIPIENT REGISTRATION FORM

Congratulations! You’ve been selected to receive a full scholarship for the SNMA Premedical Conference at the University of Rochester. Based on the content written in your essays, we believe that you can truly benefit from our conference. Below, you’ll find a form meant to collect information from all of you individually.

 

Phone *
Phone
Photo Rights *
By registering to attend this event, I acknowledge that I may be photographed during the event. The photographs will be used for the sole purpose of promoting the SNMA Pre-Medical Conference and will be forbidden from personal use or release to another source.