PCP SCHOLARSHIP APPLICATION
Deadline: December 6, 2024
Notification of Award: January 24, 2025

GTSC is proud to continue its tradition of supporting aspiring medical professionals with the prestigious Peter C. Pairolero Scholarship. Three exceptional individuals - one medical student, one general surgery resident, and one general surgery fellow - will be honored during our esteemed Saturday evening Gala Dinner.

The scholarship covers hotel accommodations for three nights (room and tax only) at the upcoming Annual Meeting, along with the registration fee and reimbursement of up to $750 for travel expenses. It's our way of nurturing talent and fostering excellence in the field of thoracic surgery.

To apply, please include a letter of nomination along with the nominee's curriculum vitae. We encourage self-nominations as well - don't hesitate to put your best foot forward!

This is your chance to stand out, seize new opportunities, and be recognized for your dedication to the field of thoracic surgery!

**If you are nominating someone, please complete the application with the individual's information, not yours.

Nomination *

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Name (Complete only if you are nominating someone else)

Email (Complete only if you are nominating someone else)

Nominee's First Name: *

Nominee's Last Name: *

Designation *

E-mail Address *

Nominee's Institution *

City *

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The Nominee is a: *

Student

Resident

Fellow

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Please upload the nominee's headshot *

Please upload the nominee's brief bio (if available)

In PDF Format, please upload your letter of nomination or letter of request and include the nominee's CV.

1. Please put the name of the nominee as the title of your document (ex. John Smith).
2. Please have your PDF in the following page order:
   • Page 1: Letter of Nomination/Letter of Request
   • Page 2: Nominee's CV

!DON'T FORGET to submit this form after uploading the letter and CV.
Failure to do so will disqualify your submission.

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