SCHOLAR SURVEY

In celebration of our 10th anniversary of Our Hearts Your Hands, we would appreciate our scholars filling out the below survey to help tell our story and keep records of the impacts we are making!

We want to hear from you!

Please take a moment to fill out the form.

Full Name

Preferred Name (if different)

City, Country of Residence

Current Employer or School

Job Title / Role

What anesthesia or nursing degree(s) have you completed?

Institution(s) attended & what years

Are you currently pursuing additional education or training? If yes, please describe.

How did OHYH’s support impact your ability to complete your education or training?

How has your career changed since receiving support from OHYH?

In one or two sentences, how would you describe what OHYH’s support meant to you?

Is there a specific moment or experience that stands out from your journey?

What are your goals for the next 2-5 years?

What message would you share with donors or supporters of OHYH?

Please upload any photos you are comfortable sharing (you, your work, your graduation, teaching, etc.).

Upload File

Upload supported file (Max 15MB)

Upload File

Upload supported file (Max 15MB)

Do we have permission to use your photos for:

Website

Social Media

Reports / Presentations

All of the above

How would you like your name to appear publicly?

Full Name

First Name Only

Anonymous

Thanks for submitting!