Application Form
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International Scholars Program Application

This application form was revised 3/11/13.

Please read all the instructions on this page and on the application form before completing the application. Every question must be answered. All requested documents must be sent to us as PDF Files or as Word Documents only. For your convenience, click here to download a complete document checklist.

Please email the items listed below to

All Applicants:

  1. Curriculum Vitae – Include education and professional experience
  2. One color picture of yourself no larger than 2 ½ x 3 ½ inches
  3. Proof of English Competency
  4. Copy of medical degree or license with certified English translation.
  5. Immunization record and either a negative tuberculin skin test OR a chest x-ray report taken within 6 months.
  6. Previous International Educational Experiences

Stecker Scholar, Independently Funded, and Rotary Program Applicants:

  1. Letters of recommendation– final determination will not be made until received
  2. Signed Memorandum of Agreement (Stecker Scholar and Rotary Applicants)
  3. Signed Memorandum of Agreement (Independent Applicants)
  4. Health and Conduct Agreement

Please Note: The Stecker Scholarship deadline has been changed to March 15th effective immediately.

You may complete the application online or download the application and email it or send it to:

Nationwide Children's Hospital
International Scholars Program
700 Children's Drive
Columbus, OH 43205

Please email us at if you have questions.

International Scholars Program Application Form

Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000