TheDouglasHeinerScholarshipismadeavailablefromthegenerousdonationsofDr.DouglasHeiner.Thepurposeistosupportstudentswhoareworkinginunderservedcommunitiesdoingmentoredresearchorfieldexperience.Examplesofsupportedinitiativesinclude:• Tuition• Travelassistanceformentoredresearch,fieldexperience,conferences,symposiaor
otherevents.
Eachproposalwillbeevaluatedonitsownmerit;however,itwillbereviewedwithinthecontextofothersubmittedproposals.Applicantsmustbefull-timestudentsintheMPHprogram.Preferenceisgiventostudentsfromlessdevelopedcountriesthatplantoreturntotheirhomecountrytostrengthenit.
Procedures1. CompletetheattachedDouglasHeinerScholarshipApplicationForm.Proposals
submittedinanyotherformatwillnotbeconsidered.
2. SubmittheDouglasHeinerScholarshipApplicationFormtotheMPHofficeoremailatmph@byu.edu.
3. Proposalsmaybefullyorpartiallyfundeddependentuponfundsavailable.
4. Fundswillbeusedfortheapprovedpurposeonlyasoutlinedintheproposal.Ifcircumstancesaresuchthatachangeisrequiredtotheproposalaftertheawardhasbeengranted,arequestshouldbesubmittedinhardcopytotheMPHoffice.
AvailableFundingOneormorescholarshipsmaybeawarded.Amaximumof$10,000willbedistributedcontingentonavailablefunds.
Douglas Heiner Scholarship
DEPARTMENT OF HEALTH SCIENCE 4103 LSB, Provo, UT, 84602 Tel: (801) 422-3082 Fax: (801) 422-0273 Web: http: //mph.byu.edu Email: [email protected]
Name: StudentID: BYUContactAddress:
Phone: Email: CommitteeChair: IfrequestingtuitionassistancepleaseprovideaparagraphdescribingyourfinancialneedsorsituationandexplainhowyouwilluseyourMPHdegreetostrengthenunderservedpopulations.
AmountRequested:
Douglas Heiner Scholarship Application Form
DEPARTMENT OF HEALTH SCIENCE 4103 LSB, Provo, UT, 84602 Tel: (801) 422-3082 Fax: (801) 422-0273 Web: http: //mph.byu.edu Email: [email protected]
Ifrequestingfieldormentoredresearchassistancepleasecompletethefollowingquestions:
Provideabriefparagraphsynopsisoftheproposedexperience.
Explainthedesiredoutcomeoftheproposedexperience(Purpose)
ExplainhowthisexperiencecorrelateswiththemissionoftheMPHprogram.
Describetheactivities,methodologies,etc.relatedtotheexperience.
Provideatimelineforthecompletionoftheexperience.
Listallothersourcesoffundingforwhichyouhaveappliedandthestatusofthoserequests.
Provideabudgetandlistbudgetitemsinpriorityorder,incaseonlypartialfundingisavailable.