Scholarship Application – THE OFFICE OF MATTHEW E. RIVES

Please fill out the application form entirely and accurately. Missing or illegible information may result in your application being denied. By submitting this application you agree to the following terms and conditions:

The applicant acknowledges that a submission of an application does not automatically grant the scholarship or any other funding or support from The Office of Matthew E. Rives to the applicant.
The applicant acknowledges that by submitting an application for the scholarship they may be subjected to contact from The Office of Matthew E. Rives for clarification of information provided on the application or for clarification of information discovered during the due diligence process.
The applicant acknowledges that knowingly submitting false or inaccurate information may result in a denial of the application and a ban from applying for a scholarship in the future.
The applicant acknowledges that The Office of Matthew E. Perez reserves the right to approve or decline application at their sole discretion and bases their decision on multiple factors.

Name *

Email Address *

Phone *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

What medical college have you been accepted to? *

What type of medicine will you be studying? *

Provide a general background about yourself. *

Do any of the following apply to you? *Cheated on a test of any kindBorrowed an item and kept itStolen an item less than $5.00 in valueOwned a dog, cat, or birdWillingly participated in a physical altercationPhotographed or filmed a stranger in publicSpeak a language other and EnglishNone of these apply

Why do you think you deserve this scholarship more than other applicants? *