We're excited to announce our new group of Neal Kocurek Scholarship recipients, and appreciate you taking a moment to share some information with us.  Please use the form below to upload a square headshot, much like you'd use for IG, Twitter, or Facebook. See the attached example for suggested framing.

If you'd like to be tagged on any social posts your photo is featured in, you can provide your Instagram and/or Twitter handle below. You may also share a sentence describing why you've chosen to go into the medical profession (we'll be using selected pull quotes throughout the website) and indicate your acceptance of the content agreement with your digital signature.

Thank you and best wishes!

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We're excited to announce our new group of Neal Kocurek Scholarship recipients, and appreciate you taking a moment to share some information with us.  Please use the form below to upload a square headshot, much like you'd use for IG, Twitter, or Facebook. See the attached example for suggested framing.

If you'd like to be tagged on any social posts your photo is featured in, you can provide your Instagram and/or Twitter handle below. You may also share a sentence describing why you've chosen to go into the medical profession (we'll be using selected pull quotes throughout the website) and indicate your acceptance of the content agreement with your digital signature.

Thank you and best wishes!

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