Ronald J. Spitznagel Service Fellowship in Health Sciences Scholarship Application Ronald J. Spitznagel Service Fellowship in Health Sciences Scholarship Application Please note, you must be enrolled in courses in the Fall semester to be considered for a scholarship. Applications must be submitted by August 3, 2025.Personal InformationName* First Last UF ID*Enter your UF ID. Email*Please provide the best email for us to contact you. Phone (cell or home)*Please provide the best phone number for us to reach you.Do you have or have ever had a conduct or honor code violation?* Yes No Description of Honor Code ViolationPlease explain the circumstances surrounding the conduct or honor code violation, including the date of the violation. Academic InformationPlease list the term and year you entered PHHP.* What is your projected graduation date?*Please list the term and year you expect to graduate. What is your current degree program?*MastersDoctoralPlease indicate your current program. Biostatistics (MS) Communication Sciences and Disorders (MA) Epidemiology (MS) Health Administration (MHA) Public Health (MPH) Public Health (MPH)-Biostatistics Public Health (MPH)-Environmental Health Public Health (MPH)-Epidemiology Public Health (MPH)-Population Health Management Public Health (MPH)-Public Health Practice Public Health (MPH)-Social and Behavioral Sciences Health Science (MHS), One Health Please indicate your current program Audiology (AuD) Biostatistics (PhD) Epidemiology (PhD) Health Research Sevices (PhD) Occupational Therapy (OTD) Physical Therapy DPT) Psychology (PhD) Public Health (PhD)-Social and Behavioral Sciences Public Health (PhD)-Environmental and Global Health Public Health (PhD)-One Health Public Health (PhD)-Health Services Research Rehabilitation Science (RSD) Speech-Language Pathology (PhD) What is your current GPA?* Leadership/Volunteer Experience Please tell us about your leadership/volunteer work you’ve while at UF. Note: All leadership/volunteer experience, including the name of the organization and the length of service, should be listed on your CV or resume.Have you volunteered at UF or with an outside organization during your time at UF?* Yes No Please tell us your total volunteer hours for the past academic year.* Do you have documented volunteer service of 50 or more hours to the University and/or Community* Yes No Have you served in a leadership position during your time at UF?* Yes No Applicant Statement*Please provide specific examples of how, through your leadership or volunteer work, you have been able to make a difference or of how your leadership and volunteer experiences have impacted you. What is your next career step?* Please explain why you are applying for financial aid.*Briefly state any other extenuating circumstances which can be considered in your application. Supporting Materials Submission Check List*Applications MUST include both a pdf CV and a pdf letter of support. Submissions missing one or the other will not be considered. Please confirm your are submitting BOTH a CV and letter of support by checking the boxes below. pdf CV or resume (Please be sure to include all service and leadership experience, as well as any awards/recognitions you have recieved.) pdf Letter of support addressing the student’s contributions (service, leadership roles, research activities). This letter should be from a mentor, faculty member, lab/research supervisor or volunteer director. Upload your files*Please submit the required supporting documents. Applications with missing documents will not be considered. Drop files here or Select files Accepted file types: pdf, Max. file size: 125 MB, Max. files: 8. Application Verification* I certify that the information given on this application is correct to the best of my knowledge. I give permission for my scholarship application material to be released to and/or reviewed by appropriate donor representatives and the University of Florida Foundation, at the discretion of the College of Public Health and Health Professions. SignatureDate MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.
