COVID-19 Information

Geisel Urban Health Scholars
Alternative Spring Break Application

Deadline: Sunday, February 6th at 11:59 pm

Entries marked with * are required.

First Name*:

Last Name*:

Email*:

Phone*:

Year in School*:






Expected date of Graduation*:

School/Institution*:

Major*:

What are your hobbies or interests?*:

Please describe your relevant leadership or experiences related to urban health*:

Why are you interested in working with our Urban Health Scholars?*:

What are your long term career interests with the underserved?*:

Please attach a current Resume/CV*: