Fillable Alpha Epsilon Delta Scholarship Application 2022

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Alpha Epsilon Delta Scholarship Application 2022

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The Alpha Epsilon Delta Scholarship Application 2022 form is 3 pages long and contains:

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  • 0 check-boxes
  • 49 other fields

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Applicants are responsible for
providing all information requested
on the Application Form.
Additional material will not be
considered.
Incomplete application forms
will not be accepted.
Your completed application
packet must include the following:
•
•
•
•
•
Your complete application package must
be postmarked no later than April 30, 2022
of your senior year and mailed to the
following address:
Alpha Epsilon Delta
National Ofce
TCU Box 298810
Fort Worth, TX 76129
Failure to include these items will
invalidate your application.
Only two applications will be accepted
from each chapter.
Eligibility for any scholarship is dependent
on acceptance and attendance at a med-
ical, dental or other health care related
professional school. Scholarship applicants
will be notified of the results in Fall 2022.
Alpha Epsilon Delta
The Health Preprofessional Honor Society
Scholarship Application 2022
Student Section
First Name Permanent Address
Middle Name City
Last Name State
Email Zip Code
Birth Date (MM/YY) Cell Number
Chapter/Institution Section
Chapter (State, Greek) Undergraduate Institution
AED National ID Region President of Undergraduate Institution
Dean of College/School Chapter Advisor
Dean’s Mailing Address Advisor Mailing Address
Advisor Phone Advisor Email
Academic Major Degree
Overall GPA Science (BCPM) GPA
Health Professional School you will be attending
This form must be submitted as is and
must be typed (the form is llable); any
alteration will invalidate your
application.
Application must be signed by either
the chapter advisor or the chapter
president. We will accept handwritten
signatures or electronic signatures.
Ofcial or unofcial transcript(s) from all
undergraduate work.
Letter of support from two of the
following: Chapter advisor, chapter
ofcer, nationally registered member or
honorary member.
Digital high quality photograph for
publication in our Society’s journal, “The
Scalpel”
(email to aednationalofces@tcu.edu)
subject line: Scholarship Photo
Page 1 of 3
Applicants are responsible for
providing all information requested
on the Application Form.
Additional material will not be
considered.
Incomplete application forms
will not be accepted.
Your completed application
packet must include the following:
•
•
•
•
•
Alpha Epsilon Delta
The Health Preprofessional Honor Society
Scholarship Form
List below scholastic honors, awards, and recognitions you have re-
ceived, i.e., scholarships, Dean’s List, Honor Societies, since high school.
10 listings maximum
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
This form must be submitted as is and
must be typed (the form is llable); any
alteration will invalidate your
application.
Application must be signed by either
the chapter advisor or the chapter
president. We will accept handwritten
signatures or electronic signatures.
Ofcial or unofcial transcript(s) from all
undergraduate work.
Letter of support from two of the
following: Chapter advisor, chapter
ofcer, nationally registered member or
honorary member.
Digital high quality photograph for
publication in our Society’s journal, “The
Scalpel”
(email to aednationalofces@tcu.edu)
subject line: Scholarship Photo
List below extracurricular activities, i.e., student ofces held, society
membership and activities, athletic activities, since high school. 10 listings
maximum. Do not repeat those listed in the previous section.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Your complete application package must
be postmarked no later than April 30, 2022
of your senior year and mailed to the
following address:
Alpha Epsilon Delta
National Office
TCU Box 298810
Fort Worth, TX 76129
Failure to include these items will invalidate
your application.
Only two applications will be accepted
from each chapter.
Eligibility for any scholarship is dependent
on acceptance and attendance at a
medical, dental or other health care
related professional school. Scholarship
applicants will be notified of the results in
the Fall 2022.
Page 2 of 3
Alpha Epsilon Delta
The Health Preprofessional Honor Society
Scholarship Form
Page 3 of 3
Provide a typed statement (minimum 10-point font size) of your college and premedical
activities focusing on AED contributions, including ofces held, committee and convention
participation. Note: Only the information provided in the space below will be considered!
Signature Section
Student Signature
Advisor or Chapter President Signature
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Alpha Epsilon Delta Scholarship Application 2022

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Completed 18 May 2022

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