Student Application

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The value you provided must be within the suggested range

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The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit North American phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

gMdXqjqIrnNFZRkuiKGYVk4C4I27RnDAtRfztbXTqawvNMDjIqvFRQHe7Ka7PSeT4TIiLrRR4nDMkozEhnXqC9mNXPUbNm9iZUYET5PEvEWMZ

DISCLAIMERS:

The AHEC Scholars Program is funded in part by the Health Resources and Services Administration (HRSA). In accordance with HRSA requirements, individuals receiving support through this program must be a U.S. citizen, U.S. national, or lawful permanent resident of the United States.
If you are not currently enrolled and attending a health profession program listed on our drop-down menu below, you are not eligible for this program.

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Today's Date:

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M-D-Y

What is the application status of this student?

Sent to Enrollment

Waitlist

Undergrad Not Eligible

Too late Health Professional

Too Soon Health Professional

Incomplete Reminder

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Are you a U.S. citizen, U.S. national, or lawful permanent resident (Green Card holder) of the United States?

* must provide value

Yes

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What kind of healthcare profession educational program are you currently attending?

* must provide value

Please select the South Texas AHEC Scholars Program you are applying to:

If you are a Community Health Worker student, apply to the same AHEC region in which you reside.

(Note: We are unable to accept students or CHWs from Starr, Hidalgo, or Cameron County. Please contact UTRGV School of Medicine for more information about their AHEC Scholars Program).

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Southwest Border AHEC

South Central AHEC

Mid Rio Grande Border AHEC

South Coastal AHEC

LRGV AHEC

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ST-AHEC Service Area Map

Expected date of graduation from your healthcare educational program. In order to be eligible for this program, your graduation must be approximately two years from now.

* must provide value

M-D-Y

Months to graduation

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We're sorry, you are too late to enroll in this program, because you graduate in less time than the mandated 2-year time requirement.

Please contact the AHEC Scholars Coordinator at VelaV4@uthscsa.edu if you have any questions.

Expected date of graduation from your healthcare educational program. In order to be eligible for this program, your graduation must be approximately one year from now.

* must provide value

M-D-Y

Months to graduation

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We're sorry, you are too late to enroll in this program, because you graduate in less time than the mandated 1-year time requirement.

Please contact the AHEC Scholars Coordinator at VelaV4@uthscsa.edu if you have any questions.

Expected date of graduation from your CHW educational program.

* must provide value

M-D-Y

Expected Graduation Date for Import to Master List Data Set

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