Please answer the following questions to determine if you are eligible to apply for the Health & Society Scholars program:

1.	Are you a U.S. citizen or permanent resident?
	Yes No

2.	Have you completed or will you complete a doctoral degree by August 1, 2011?
	Yes No

3.	Are you related by blood or marriage to any Officer or Trustee of the Robert Wood Johnson Foundation or are you a descendant of General Robert Wood Johnson?*
	Yes No

* Applicants ultimately benefiting from an award cannot be related to any Officer or Trustee of the Robert Wood Johnson Foundation, or be a descendent of the Foundation's founder. The officers are the Chairman of the Board of Trustees; President and CEO; Chief of Staff; General Counsel; Secretary; and Assistant Secretary of the Foundation.