Boston North Cancer Association F. John Bargoot, MD Memorial Scholarship Application
The F. John Bargoot, MD Memorial Scholarship is awarded to one medical school student who has a demonstrated interest in cancer treatment and prevention. The late Dr. F. John Bargoot dedicated his entire career to the treatment and prevention of cancer. He served as the Director of the Division of Radiation Therapy for Atlanticare Medical Center in Lynn, MA from 1973-1993, and as a Radiation Oncologist at Lahey Clinic for 10 years. Dr. Bargoot was past president and long serving member of the Boston North Cancer Association Board of Directors. He was a resident of Swampscott, MA for 40 years.
One applicant will be selected for this scholarship from a competitive application process. Answers to essay questions, resume and reference must be attached to the application. This is a one-time, non-renewable scholarship of $7,500. BNCA will prioritize applicants with financial need for consideration. Deadline for applications is April 1, 2019.
BNCA restricts funding to applicants who resided in Essex County, MA during their high school years.
The submission of a scholarship application shall constitute the applicant’s authorization to Boston North Cancer Association, Inc. to use the applicant’s personal information and photographs for the purpose of promoting the association and the scholarship program.
Date of Application
Applicant Information
First Name
Middle Initial
Last Name
Home Address
City
State
Zip
Home Phone Number
Cell Phone Number
Email Address
High School Information
Please complete the below information about your high school years.
Name of High School
High School Address
Date of High School Graduation
Home Address During High School Years
City
State
Zip
Undergraduate Information
Please complete the following informaiton related to your undergraduate studies.
Name of Undergraduate College/University
College/University Address
City
State
Zip
Date of College Graduation
Cumulative Undergraduate GPA
Major and Minor
Medical School
Please complete the following regarding the medical school you attend or plan to attend.
Name of Medical School
Medical School Address
City
State
Zip
Anticipated Date of Graduation
Cumulative GPA (to date if applicable)
Financial Aid
Do you receive Financial Aid or Scholarships toward your tuition?
Yes
No
Resume
Please attach your resume including employment history and extra-curricular and volunteer activities with dates of participation and leadership roles.
Essay
Please address the following three questions in a typed essay that is three pages or less. You can attach your essay at the end of the application form.
1. Who and/or what inspired you to pursue a degree in medicine?
2. What area of medicine do you plan to pursue and why?
3. How do you envision incorporating cancer treatment, prevention and education into your profession?
Reference
Please list one reference below and include a typed and signed letter of recommendation to support your application.
Please note: References from friends or family members will not be considered.
Reference Name
Organization/Business
Position
Address
City
State
Zip
Phone Number
Email
Relationship
File Attachments
*
Please upload the following attachments. Partial applications will not be considered.
* Resume
* Essay Questions (maximum of 3 pages)
* One Letter of Recommendation
* Official Signed Copy of College/University Transcript
* Official Signed Copy of Medical School Transcript (if already attending)
Submission Checklist
Check that you have included the following required items prior to submitting your application. Partial applications will not be considered. If you are having trouble uploading your documents, please email any additional attachments to info@bostonnorthcancer.org with your name and date of application.
Resume
*
Essay Questions
*
One Letter of Recommendations
*
Official College/University Transcript
Official Medical School Transcript (if applicable)
*
Send me a copy of my responses
Email address
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