The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

BJ9PE4IGKdg2EE8Du8Uf5E3VMbZHmRn6tVrWzecgLYj87eeBN8QHZZHhIrx6u8SBkIwxIEsAz7U5LagWX4

Scholars for a Healthy Oregon Initiative Application

Returning?

A A A

If you have any questions, please contact Anna at tupper@ohsu.edu

Please allow one hour to complete the Scholars for a Healthy Oregon Application. There is a "save and return" option for respondents that cannot complete their application in one session. Please note the return code prior to closing the session.

Please review all OHSU policies and Service Agreement (found at www.ohsu.edu/healthyoregon) before completing this application. It is important that you understand the Service Commitment and related obligations prior to submitting your application.

Thank you for your interest in the Scholars for a Healthy Oregon Initiative (SHOI) funding. The initiative is intended to address issues related to high tuition and the shortage of healthcare professionals in Oregon's rural and underserved communities.

Applications for the SHOI funding are available to students applying to OHSU in the 2025-2026 Academic Year in select academic programs:

Doctor of Medicine (MD)
Doctor of Dental Medicine (DMD)
Master of Physician Assistant Studies (MPAS)
Doctor of Nursing Practice (DNP) in:
a) Nurse Anesthesia
b) Family Nurse Practitioner
c) Nurse Midwifery
d) Psychiatric Mental Health Nurse Practitioner
e) Pediatric Nurse Practitioner
f) Adult Gerontology Acute Care Nurse Practitioner

AND

Applicants must be either Oregon Residents or can demonstrate Oregon Heritage (policy 02-10-025) under OHSU Admissions Criteria (PDF copy below).

For those who meet the above criteria, preference is given to students who:

1. Graduated from one of four Technical and Regional Universities (Eastern Oregon University, Oregon Tech, Southern Oregon University or Western Oregon University)
2. Are first generation college students
3. Are from a diverse or under-represented community

This application includes demographic data, essay questions and optional identifying information. You may save and return to your work if you are not able to complete in one session. We encourage you to answer all questions. Leaving questions blank (except for optional questions relating to gender, ethnicity and race) may constrain the SHOI Selection Committee from conducting a thorough review of your application.

By submitting this application, you authorize the OHSU School of Medicine, Dentistry, Nursing or Physician Assistant Program to release the information you provided on your admissions application to the SHOI Selection Committee.

I have read, understand and agree to the Service Commitment and program obligations for the Scholars for a Healthy Oregon Initiative funding:

* must provide value

True

False

reset

ELIGIBILITY DETERMINATION:

OHSU Residency Policy 02-10-010

Attachment:02-10-010 Student Residency for Tuition Purposes.pdf

Do you qualify for Oregon Residency under OHSU policy 02-10-010?

* must provide value

Yes

reset

Legal state of residence when applying to OHSU?

OHSU Oregon Heritage Policy 02-10-025

Attachment:OHSU Oregon-Heritage-02-10-025.pdf

Do you qualify for Oregon Heritage under OHSU policy 02-10-025?

* must provide value

Yes

reset

Last Name

* must provide value

First Name

* must provide value

Address

* must provide value

City/Town

* must provide value

State

* must provide value

Zip Code:

* must provide value

Phone Number:

* must provide value

Email Address:

* must provide value

OHSU ID Number (if known):

Gender:

Male

Female

Not Listed

reset

What is your ethnicity?

Hispanic or Latino

Not Hispanic or Latino

reset

What is your race?(check all that apply)

American Indian or Alaska Native

Chinese

Filipino

Indian

Japanese

Korean

Vietnamese

Asian, Other

Black or African American

Native Hawaiian or other Pacific Islander

Eastern European

Middle Eastern

White

Other

Which program are you applying to?

* must provide value

OHSU School of Dentistry (DMD)

OHSU School of Medicine (MD)

OHSU Master of Physician Assistant Studies (MPAS)

OHSU Doctor of Nursing Practice (DNP)

reset

OHSU Doctor of Nursing Practice in:

* must provide value

Adult Gerontology Acute Care Nurse Practitioner

Nurse Anesthesia

Family Nurse Practitioner

Nurse Midwifery

Pediatric Nurse Practitioner

Psychiatric Mental Health Nurse Practitioner

reset

Do you plan to pursue any other degree program(s) after/in conjunction with the above?

* must provide value

Yes

reset

Name of degree program:

Have you, or will you, apply for any of the following programs (check all that apply):

National Health Service Corps Scholar

Military Scholarship/Obligation

Indian Health Service Corps

Other program with obligated service after training

Name of program with service after training obligation:

Bachelor Degree

Master Degree

Doctoral Degree

Other

Select type(s) of Academic Degree earned

List the name of the college or university where you earned your Bachelor Degree and its location (city/state).

* must provide value

List the name of the college or university where you earned your Master Degree and its location (city/state).

* must provide value

List the name of the college or university where you earned your Doctoral Degree and its location (city/state).

* must provide value

List the name of the college or university where you earned your "other degree" and its location (city/state).

* must provide value

Are you proficient in any language(s) other than English?

Yes

reset

Language 1

Language 1 proficiency

Basic

Intermediate

Fluent

Native/Bilingual

reset

Language 2

Language Proficiency 2

Basic

Intermediate

Fluent

Native/Bilingual

reset

Language 3

Language 3 Proficiency

Basic

Intermediate

Fluent

Native/Bilingual

reset

List the name of the high school and location (city/state) from which you graduated:

* must provide value

What is the name of the primary place you lived (city/town, state and country) prior to 18 years of age?

* must provide value

What is the population of the primary place you lived prior to 18 years of age?

* must provide value

Rural (< 40,000 and not within 10 miles of a city with a population of 40,000)

Suburban (within commuting distance of a city)

Mid-sized City (40,000-99,999)

Large City (100,000-999,999)

Urban (>1,000,000)

No response

reset

Do you believe that the area you lived in during childhood was medically underserved? (Defined as an area with a high percentage of the population below the poverty level; a high percentage of the population that is elderly; a high infant mortality rate; and/or a lack of available primary care physicians).

* must provide value

Yes

Unknown

No Response

reset

Highest level of education attained by parent/guardian #1:

Unknown

No formal education

Kindergarten - 8th grade

High school graduate/GED

Some College

Associate's degree

Bachelor's degree

Graduate degree or higher

No response

reset

Highest level of education attained by parent/guardian #2:

Unknown

No formal education

Kindergarten - 8th grade

High school graduate/GED

Some College

Associate's degree

Bachelor's degree

Graduate degree or higher

No response

reset

None

Mild

Moderate

Severe

No Response

Economic

Educational

Ethnic/cultural

Family

Please describe the nature of the adversity that you experienced (250 word maximum):

Expand

At OHSU, we embrace the full spectrum of diversity, including age, color, culture, disability, ethnicity, gender identity or expression, marital status, national origin, race, religion, sex, sexual orientation, and socioeconomic status. We respect and support diversity of thought, ideas and more. To fully leverage the richness of our diversity at OHSU, we must create, maintain and promote a community of inclusion. Inclusion means we honor, respect, embrace and value the unique contributions and perspectives of all employees, patients, students, volunteers and our local and global communities. It also includes removing barriers to individual success.

Using the statement above as a guide, please discuss the diversity that you would bring to OHSU, and how you will integrate diversity and inclusion into your chosen profession (1000 word maximum).

* must provide value

Expand

SHOI funding provides full tuition and mandatory fees (for the normal length of the degree program) for a limited number of eligible students entering specific degree programs at OHSU. In return, funding recipients agree to practice as a healthcare provider at a Designated Service Site in Oregon for a minimum of one year longer than the total years of funding received. Designated Service Sites may include critical access hospitals, federally qualified health centers or any geographic area, population group or facility that is located in Oregon and has been designated by the Health Resources and Services Administration of the Department of Health and Human Services as a health professional shortage area, a medically underserved area or a medically underserved population. Designated Service Sites are based on State and Federal shortage designation criteria therefore are determined on the year of program completion.

The Scholars for a Healthy Oregon Initiative funding was created to address the shortage of healthcare professionals in Oregon's rural or underserved communities. In your responses to the following questions, please demonstrate your understanding of the SHOI service commitment and your role in caring for rural and/or underserved Oregonians at a Designated Service Site.

Describe the practice location characteristics, population and community you aspire to serve in the future as a health care professional. (1000 word maximum)

* must provide value

Expand

What attributes and/or experience do you have that demonstrates your commitment to these rural or underserved populations and your ability to successfully fulfill your service commitment at a Designated Service Site? (1000 word maximum)

* must provide value

Expand

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.