John M. Templeton, Jr., MD Military Call to Service Scholarship

To honor Dr. Templeton's appreciation of an individual's Call to Military Service, his wife, Mrs. Pina Templeton, established an annual scholarship to support attendance at the EAST Annual Scientific Assembly for 2-3 military trauma surgeons in the early stages of their career and service. Scholarship recipients each receive up to $3,000 for meeting registration, travel, and lodging expenses.

*required

Name*

E-mail *

Address *

Telephone *

(555) 555-5555

Branch of service *

• Air Force
• Army
• Navy

Type of service *

• Active Duty
• Reserve

Training year *

• PGY1
• PGY2
• PGY3
• PGY4
• PGY5
• Fellow Year 1
• Fellow Year 2
• Completed training

Must have completed training less than 5 years prior to award year

Residency or Fellowship year completed

Essay *

The following formats are accepted: doc, docx, txt, rtf, pdf

The maximum file size is 200 MB

Sponsor*
Must be an Active or Senior EAST member

Type the first few letters of the member's name

Can't find a member's name?

Please send an email to managmentoffice@east.org to request an addition.

Send application