Massachusetts Medical Society: Hampshire District Medical Society Scholarship

Hampshire District Medical Society Scholarship

Medical Student Application for Educational Grant

The Hampshire District Medical Society is pleased to offer 2 awards in the amount of $3,000 each.

Under the following criteria must be met for an individual to be considered for the grant:

  • Preference given to those who have lived in Western Massachusetts for at least five years.
  • A copy of a letter of recommendation from the undergraduate school to the medical school must be submitted.
  • Applicant must be a 1st, 2nd, 3rd year medical student enrolled in the UMass Chan Medical School PURCH Program.

Your application is not considered complete until you email to csalas@mms.org a PDF of any other supportive documentation requirements that are listed above.

Application Deadline: October 30, 2025

Required Fields are marked with an * 

Applicant Information:

First Name*:
   
Middle Name*:
   
Last Name*:
   
Mailing Address*:  
   
Legal Residence*:  
   
Address (if different) in Western Massachusetts:
 
   
Phone Number:*
   
Email Address*:

Education:

Undergraduate School*:
(Full Name and Location) 
 
   
Undergraduate School Graduation Year*:
   
Medical School*:  
   
Medical School Graduation Year*:
   
Graduate School
(other than Medical School):
 
   
Graduate School Graduation Year:


Personal Statement: 

Please provide a personal statement of 1,000 characters or less describing your connections to Western Massachusetts and the unique characteristics that make you an outstanding candidate for this award.

       


Electronic Signature:

I acknowledge that my digital signature below shall have the same force and effect as a written signature and intend to be bound by it, and I certify that all of the information I’ve provided is true to the best of my knowledge.

Electronic Signature (Please Type Full Name)*:
   
Date*:


Facebook logoLinkedInYouTube logoInstagramThreads

Copyright © 2025. Massachusetts Medical Society, 860 Winter Street, Waltham Woods Corporate Center, Waltham, MA 02451-1411

(781) 893-4610 | General Support: (617) 841-2925 or support@mms.org