2015 Stanford Medicine X | Ed Resident Scholarship Application

We are so excited that you are interested in applying for the Resident Scholarship to attend Stanford Medicine X | Ed, September 23-24, 2015! If you haven't yet done so, please take a moment to review information about the the conference.

Please note that this page may time-out (refresh) after a period of inactivity, causing you to lose any unsaved content. We recommend you type your application into a word processor and then cut and paste the text into the online form for submission.

Questions? Please email us at stanfordmedx@gmail.com.
  • Applicant Information

  • Residency Program Information

  • Please state the location of your current residency program. Please note, applicants must be full-time residents.
  • Program Director Information

  • General Applicant Questions





  • Consent to Contact

  • Certification of Application

  • PLEASE ENTER YOUR INITIALS ABOVE TO CERTIFY THIS FORM.

    The Medicine X | Ed Advisory Board recognizes that situations may suddenly change, and given adequate notice and reason, the Advisory Board will work with scholarship recipients to ensure recipients are able to attend the conference.

  • This field is for validation purposes and should be left unchanged.