Pat & Frank Dawson Scholarship Application

School of Acceptance
School Mailing Address
I certify I have been accepted for admission at this time
Demographic Information
Full Name
Mailing Address
I am a citizen of the US or a permanent resident
Previous School Information
Are you attending school now?
UVA Medical Center Junior Volunteer Program
Financial Assistance
Awards & Activities
Reference #1
Reference #2
Please include information on two individuals who have agreed to write a recommendation for you. Do not use family, friends or Volunteer Services staff. We will contact your references via email.
By submitting this form, you agree to our privacy policy.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.