APPLICATION FOR THE MONTEGUT GLOBAL SCHOLARS PROGRAM ABFM FOUNDATION LEXINGTON, KENTUCKY UNITED STATES OF AMERICA Instructions: Before the potential applicant completes this application, s/he must read the attached ‘ Policies and Procedures ’ document. An applicant, if chosen as a scholar, must agree to the terms of this scholarship. Please do not complete and/or submit an application if you cannot agree to the terms outlined in the policy or if you cannot meet the conditions to qualify for application to the Montegut Global Scholars Program. Please complete this application in English. Please note that in order to complete the selection process, WONCA may require other information than is requested in this application. N.B. The applicant is advised to keep the attached copy of the ‘policy and procedures’ for future reference should s/he be chosen as a scholar. Please note that applications missing any of the required documents will not be taken into consideration.

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Survey Close Date & Time: 01/06/2026 06:00 PM CET