Marilyn Aguirre-Molina and Carlos Molina Scholarship Fund

Please fill out the following form to be considered for the Marilyn Aguirre-Molina and Carlos Molina Scholarship Fund. For any questions, please reach out to: Fund@sph.cuny.edu

Information

First Name

Last Name

Email

Phone Number

SOPHAS ID

EMPLID (if applicable)

Please describe your experience working with U.S. Latino populations through work or identified community volunteer activities:

NoneSome experienceVery experienced

What is your Spanish language proficiency?

No ProficiencyElementary ProficiencyLimited Working ProficiencyProfessional Working ProficiencyFull Professional ProficiencyNative / Bilingual Proficiency

Do you closely identify yourself as Hispanic, Latino or Spanish?

YesNoOther

Please specify:

How would you best describe yourself?

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOther

Please specify:

Personal Statement

Submit a brief statement of interest in (a) advancing the understanding of social determinants of health as they impact underserved communities of color; and (b) working with underserved communities of color with intention to address the needs of under-served U.S. Latino populations. (350-words maximum)

How did you hear about this scholarship opportunity?

How did you hear about CUNY SPH?

I certify that my application is true and correct.

Contact Information