PCP SCHOLARSHIP APPLICATION
Deadline: December 18, 2022
Notification of Award: January 20, 2023


Each Annual Meeting, GTSC supports one medical student; general surgery resident; thoracic surgery resident; and/or fellow by presenting them with the Peter C. Pairolero Scholarship during our Saturday evening Gala Dinner. The Scholarship covers hotel accommodations at the upcoming Annual Meeting (three nights room and tax only), registration fee and reimbursement of up to $750 for travel expenses.

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

Nomination *

Clear Selection
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: *
Degrees
E-mail Address *
Nominee's Institution *
Nominee's Address: *
City *
State
Country
Please upload a letter of nomination for the nominee. *
Please upload the nominee's Curriculum Vitae (CV). *



Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.

GTSC Executive Office:
1935 County Road B2 W, Ste 165 | Roseville, MN 55113
952-646-2048    info@gtsc.org
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