Wetzel Scholar Application

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Name *

First

Last

Email *

Address Line 1 *

City *

State *

Zip Code *

Phone Number *

COM *

Year of Graduation *

Class Rank *

I can attend the entire Missouri Osteopathic Annual Convention. *

Yes
No

I intend to practice in the state of Missouri upon completion of postgraduate training. *

Yes
No

I have read and understand all requirements and expectations of the Wetzel Scholarship Program. *

Yes
No

I understand scholarship funds are to be used for academic expenses. *

Yes
No

If selected as a finalist, I will be available for an interview with MAOPS leadership. *

Yes
No

Describe how you achieved academic success, in both undergraduate and medical school. *

Provide a detailed example of how you have demonstrated leadership sometime in the last three years. *

Defend this statement: 'I am the best candidate for you to choose for the scholarship!' *

Letter of Reference *

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1423 Randy Lane | Jefferson City, MO 65101
Phone: 573-634-3415 | Fax: 573-634-5635 | Email MAOPS

The Missouri Association of Osteopathic Physicians and Surgeons (MAOPS) was founded in 1897 in Kirksville, MO – the birthplace of osteopathic medicine – as the professional organization for physicians holding Doctor of Osteopathic Medicine (DO) degrees.

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