WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS FOUNDATION
Application for the All Saints Pharmacy Educational Scholarship
Deadline Friday, January 1, 2016
The Wheaton Franciscan Healthcare – All Saints Foundation Pharmacy Educational Scholarship is offered to
Associates, or direct family of Associates, in All Saints Pharmacy seeking to advance their educational
opportunities. Through generous donations to the All Saints Foundation Pharmacy Educational Scholarship
Endowment, All Saints is pleased to afford this opportunity for financial support in accordance with our value
of Development.
Scholarship Criteria*:
1. The applicant or applicant’s family must be a WFH – All Saints Associate working a minimum of 20
hours per week at All Saints Pharmacy and must be in good standing.
2. Applicant must be accepted at or a current student in good standing.
3. Applicants will be considered based on the following criteria:

The scholarship recipient must provide proof of enrollment

Financial circumstances indicating possible need

Community and organizational volunteerism

Scholastic performance
4. The recipient is expected to remain enrolled at school during the full term of the school year during the
year the award is received.
5. 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 two letters of recommendation describing a general character reference (not from a
relative) with this application or have them mailed directly to the address below.
3. Return completed applications to:
WFH - All Saints Foundation
Attn: Pharmacy Educational Scholarship
3805-B Spring Street, Suite 220
Racine, WI 53405
Or faxed to (262) 687-8655
4. Scholarship applicants are required to provide college transcripts showing academic performance in
recent college coursework or the high school equivalent.
5. The scholarship recipient may be asked to meet with the respective scholarship donor and will be asked
to attend a scholarship awards reception to be held in March 2016.
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:
Telephone: work
home
cell
Start Date at School:
Present Occupation: :
Associate at All Saints Department of Pharmacy :
Family Member of Associate of All Saints OR
Department of Pharmacy
Name of Family at All Saints Department of Pharmacy
Manager at All Saints:
What type of program are you enrolled in?
Educational Background:
1.






2.
High School, college or professional school (if more than one attended, attach information)
Name and location:
Years attended:
Date graduated:
Degree:
Major:
Cumulative GPA on 4.0 scale:
Additional education:
3. List any extracurricular school activities and any educational honors received:
School Information & Expenses:
1. What school are you attending for your education?
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:
All Saints Pharmacy Educational Scholarship
8. If you were not to receive this scholarship, how else would
you fund your education?
9. Of your educational and living expenses approximately what
percentage are you personally responsible to provide.
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:
Essay(s):
(Please answer all questions below on separate sheet(s), numbering answers as appropriate)
1.
2.
3.
4.
5.
Why did you choose your career/education path?
Have you ever needed to care for a loved one or friend? Please tell us about that experience and how
it affected your career goals.
Tell us about a particularly challenging experience you have had, why it was challenging and what
did you learn? (These challenges may come from a wide array of experiences in life)
Tell us how you have effectively balanced work and school while maintaining a balanced life.
A narrative describing, not to exceed one-page, typed (size 12 font):
 Your educational and career goals, both short-term and long-range
 Any circumstances or personal thoughts you wish the scholarship committee to consider when
evaluating your application
For Scholarship Committee Use Only:
o Signature
o Transcript included
o Two Letters of Reference included
o Typed Application and Essay
All Saints Pharmacy Educational Scholarship