2021 Foundation of the AAGL: Harrith M. Hasson Scholarship Application

Dr. Hasson was a true visionary, dedicated physician, and prolific inventor of surgical and educational devices and techniques. His legacy endures with the cannula and open laparoscopy techniques that bear his name. The 19th president of AAGL, Dr. Hasson was a passionate proponent of lifelong learning for surgical gynecologists.

Established in 2013 by Dr. Hasson's family, this scholarship provides for a deserving physician from a developing country to virtually attend the AAGL Global Congress on Minimally Invasive Gynecology.

Please complete the application form below to apply.

1. Please provide the nominee's contact information:

First Name

Last Name

Country

Email Address

Phone Number

2. Complete Address

3. Please tell us about yourself including your education and training in medicine. (500 words or less) *This question is required.

4. Please tell us about the current conditions of women’s healthcare, including access to minimally invasive gynecologic surgery, in your community. (500 words or less)

5. Please tell us about your goals for the future. (500 words or less)

6. Please tell us what winning this scholarship to attend the AAGL Global Congress would mean to you. (500 words or less)

7. Please attach your current Curriculum Vitae (CV).

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8. If you are nominating yourself, please attach a letter of reference.

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9. If you are nominating someone else, please provide your contact information:

Full Name
Email Address