Baxter Regional Medical Center
  |  Locations
  |  Maps & Directions
  |  Pay My Bill
  |  Contact a Patient
  |  Contact Us
Mobile Site
Print Friendly
About BRMC|BRMC Careers|News & Updates|View My Results|Calendar
(870) 508-1000
Kerr Medical Student Scholarship Application
Baxter Regional Medical Center
Annual Kerr Medical Student Scholarship
Application Form
Return completed form and two letters of reference by June 15 to:
Sarah Edwards, Physician Recruiter
Baxter Regional Medical Center
624 Hospital Drive
Mountain Home, AR 72653
* Asterisk indicates a required field.
Personal Information
Name * Address *
Date of Birth * City *
Phone Number * State *
E-mail * Zip *
Marital Status * Spouse Occupation
Education Information
High School * Medical School Attending *
High School Graduation Date * Medical School Address *
College * Anticipated Year of Graduation *
College Graduation Date * Anticipated Residency Specialty *
College Major * What geographic location do you plan to work in upon completion of residency? *
Scholarship Essay
Please describe why you believe yourself to be a deserving candidate for this scholarship. *
Signature of Applicant * Date
11-27-2015 11:12 am
Hospice of the OzarkssuperDimension™ Navigation SystemBreast Imaging CenterBaxter Regional Medical CenterMobile 3D MammographyWomen's CenterBaxter Regional Hospital Foundation
624 Hospital Drive, Mountain Home, Arkansas 72653 • (870) 508-1000 • Physician's Referral Service: 1-800-695-DOCS (3627)
Mruk Family Education Center on Aging | Peitz Cancer Support House | Reppell Diabetes Learning Center | Schliemann Center for Women's Health Education
© 2013-2015 Baxter Regional Medical Center | Board Portal
Site Design & Hosting by Brooks Jeffrey Marketing, Inc.