Northampton County Medical Society Alliance
Scholarship Application

Overview: The Northampton Country Medical Society Alliance provides scholarships to eligible medical, nursing and physician assistant students.

Eligibility Criteria:

  • Applications must be United State citizens whose permanent residence is within Northampton County, Pennsylvania, and/or have a Bethlehem mailing address.  
  • Applicants must be accepted or currently enrolled (with no graduation date prior to May 1) in a fully accredited institute of medicine
  • Scholarships of $1000 will be awarded to qualified medical, nursing, and physician assistant students based on academic, financial, and community service criteria.
  • Recipients are eligible scholarship awards once (1) in a four (4) year period.
  • In addition to completing the online application, applicants are required to provide the following necessary materials prior to the March 15 deadline:
    • Two letters of reference
    • Personal statement about why you have chosen your career
    • Official school transcript
    • Signed certification/authorization form
    • For entering students: a copy of your letter of acceptance

Any questions regarding the scholarship can be directed toward Catherine Zarrelli at cezarrelli@aol.com.

Please consider completing the application's requirements in Microsoft Word or another document program and transferring responses from there because they will not be saved in the form if you close your browser.

Demographics
Name *
Name
Permanent Address *
Permanent Address
You must have a permanent address in Northampton County or Bethlehem, PA.
US Citizen? *
Note: you must be a US citizen to apply for this scholarship
Address of School *
Address of School
MD/DO/RN/BSN/PA/etc.
Educational History
References
May include professors, teachers or employers
Financial Information
Marital Status *
Please include federal, state and bank loans for undergraduate and post-graduate studies
Parent's Financial Information
This section MUST be completed
Name, Address, Occupation, Employer, Gross Annual Salary
Name, Address, Occupation, Employer, Gross Annual Salary
Spouse Information

Please view this document prior to submission.

Please print and complete the certification form and mail it to us BEFORE THE MARCH 15 DEADLINE at:

Northampton County Medical Society Alliance
PO Box 21012
Lehigh Valley, PA 18002-1012

any questions or concerns regarding this application, please contact us at ncmsascholarship@gmail.com