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

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