Scholarship/Grant Application Form

Scholarships and grants are available for residents or practicing members seeking to engage in charity or research endeavors. The AOCOO-HNS Foundation promotes extracurricular activities for all members for the advancement of our specialties, as well as for assisting those patients in need. The proposed intent for the grant must be detailed within the application.

Contact Information
Medical School
Scholarship/Grant Request File or Description

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Terms and Conditions

I understand that if my application is accepted and I am given this grant, I will be responsible for my own actions and further agree to release and hold harmless the American Osteopathic Colleges of Ophthalmology and Otolaryngology-Head and Neck Surgery Foundation, Inc., their agents and employees from any damages, liabilities or expenses they incur by reason of my actions of whatever nature or kind in connection with this award. I agree to fully accept responsibility for all personal insurance I deem necessary should I receive this grant.

Address application and questions to:
Ralph McClish
AOCOO-HNS Foundation, Inc.
3200 Carlisle Blvd NE, Ste 225
Albuquerque, NM 87110
phone 855.262.6646
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