WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS FOUNDATION
Application for the All Saints Foundation Scholarship Fund for Associate Child
Deadline Friday, January 1, 2016
The Wheaton Franciscan Healthcare – All Saints Foundation Scholarship Fund for Associate Child is offered
to children of current WFH-All Saints Associates. Through generous donations to the WFH-All Saints
Foundation, WFH is pleased to afford our associates and their children this opportunity for financial support in
accordance with our value of Development.
Scholarship Criteria*:
1. The applicant’s parent must be a WFH – All Saints Associate working a minimum of 20 hours per week
at All Saints and must be in good standing.
2. The applicant must be a graduating high school senior in good academic standing.
3. The applicant must have plans to pursue additional education at a college, university, or accredited
technical business trade school. The applicant does not need to pursue a degree in healthcare.
4. The applicant must complete the form and write an essay on one of the questions listed below.
 What do you feel is the biggest challenge facing today’s youth? Why?
 Who has been your mentor or role model? Why does this person play that role for you?
 What is one of your proudest accomplishments in life to date?
5. One letter of reference from individuals other than family members must be submitted. An example
would be a teacher or counselor from high school.
6. The recipients’ parent is expected to remain employed by Wheaton Franciscan Healthcare at least during
the timeframe of the award, longer is preferred.
7. All applications must be in typed format, hand-written applications will not be considered.
*Any exception to these criteria may be reviewed and considered by the Scholarship Committee.
Scholarship Process:
1. Scholarship applications available via TauNet, or call WFH- All Saints Foundation at 262.687.8654.
2. Please include one letter of recommendation with this application or have them mailed directly to the
address below.
3. Scholarship applicants are required to provide high school transcripts/report cards showing academic
performance in recent coursework.
4. The scholarship recipient may be asked to meet with the respective scholarship donor and will be asked
to attend a scholarship awards reception, tentatively scheduled for March 2017.
5. Return completed applications to: WFH - All Saints Foundation, Attn: Scholarship Committee,
3805B Spring Street, Suite 220, Racine, WI 53405, faxed to 262-687-8655 or dropped off at the Human
Resources office.
I have familiarized myself with the eligibility requirements established for the Wheaton Franciscan
Healthcare – All Saints Foundation Scholarships. I agree not to hold liable the scholarship committee as a
whole, or it members, to any obligations, financial or otherwise, if it becomes necessary at any time to
discontinue said scholarship. Scholarship checks will be mailed directly to the school. I understand that any
monies awarded and not used for the purposes of this scholarship will be returned to Wheaton Franciscan
Healthcare – All Saints Foundation. I authorize Wheaton Franciscan Healthcare – All Saints Foundation to
release my information concerning my application and likeness for purposes of publicity if I am awarded the
scholarship
Signature:
Date:
Signature of parent or guardian if applicant is under age 18:
Date Submitted:
Personal Information:
Name:
Mailing Address:
High School:
Graduation Date:
Grade Point Average:
Class Rank:
Parent or Guardian:
Parent or Guardian Department:
Telephone: work
home
cell
School Information & Expenses:
1. College or Professional School do you plan to attend:
2. Are you attending full-time or part-time? How many credits
per semester?
3. What degree are you working toward?
4. When do you hope to complete your studies?
5. List below the annual expenses at the school you will attend:
 Tuition and fees for next year
 Room and board for next year
 Books and supplies
 Miscellaneous and personal expenses
 Total expenses for next year
6. Describe any special circumstances concerning your need for
financial aid:
7. Please list any other scholarships or financial awards you
anticipate receiving:
$
$
$
$
$
Employment/Community Service:
1. List present and former employers:
Dates:
Name and Address:
Position:
2. List any community service activities you have been involved in:
Organization:
Activity:
All Saints Foundation Scholarship Fund for
Associate Child
Essay(s):
Please include an essay, not to exceed one page typed (size 12 font), reflecting on any of the following
topics –along with any circumstances or personal thoughts you wish the scholarship committee to consider
when evaluating your application.
***Applicants applying for more than one scholarship must include a different essay with each application.
1. What do you feel is the biggest challenge facing today’s youth? Why?
2. Who has been your mentor or role model? Why does this person play that role for you?
3. What is one of your proudest accomplishments in life to date?
For Scholarship Committee Use Only:
o Signature
o Transcript included
o Two Letters of Reference included
o Typed Application and Essay
All Saints Foundation Scholarship Fund for
Associate Child