BUCO Registration Form

Name

First NameLast Name

Email

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Where are you in your medical schooling?

I am interested in participating in BUCO and learning more about Christian Charitable Care in OKC.

I am interested in applying for one of 10 to 12 overseas medical scholarships at a Christian international organization during my fourth year of medical school.

I understand that I will have to apply for a scholarship for the overseas medical experience at the beginning of my fourth year of medical school.

I understand that I am not guaranteed to receive a scholarship even after participating in the BUCO program.

*BUCO is a program of the Butterfield Memorial Foundation, a Christian organization seeking to serve the medically vulnerable in central Oklahoma. While being a Christian is not required for participation in this program, the clinics and organizations engaged in this initiative serve the poor as an extension of their faith. By submitting this registration form, you are stating that you are comfortable with this program's Christian faith component.