GREATER LOUISVILLE MEDICAL SOCIETY ALLIANCE
HEALTH CAREERS GRANTS &
THE SAMANTHA ANN McDONALD SCHOLARSHIP*
ELIGIBILITY
Several health career grants for students residing in Kentucky and enrolled in an undergraduate
registered nurse program or allied health related field in a local area school** will be awarded.
Typically no less than $1000 but depending on number of applicants, can be as much as $2500.
With the exception of Accelerated Programs, no first year grants will be awarded. Application
may be made after at least one semester of health program course work has been completed.
Part time students must be taking nine credit hours to be considered for a grant. Grants are
awarded for one academic year only. A new application including new letters of
recommendations and an updated transcript may be submitted the following year for
consideration.
APPLICATION PROCEDURE
Applications including supporting materials must be received by March 30th of the year
desiring to be considered. All applicants must submit this Application and complete all items
related to their financial need. In addition, applicants must also provide the following:
•
A current transcript of higher education credits.
•
Two letters of recommendation substantiating your need for a grant. One of these letters
are to come from an instructor in your area of study. No relatives may be used.
•
Your estimate of expenses in to include tuition from the latest semester.
Please gather all the information yourself and submit it to the address on the last page of the
application or online to dmcdonaldhats@aol.com no later than March 30th. Only applications,
including letters of recommendation, transcript and estimate of expenses, will be
considered. Mark your envelope if mailing “Confidential.” Incomplete applications will not be
considered. Personal interviews are mandatory and will be scheduled by the Committee.
Awards will be made payable to the school and student jointly.
*Samantha Ann McDonald was a beautiful and spirited 3 year old girl who went home to be
with Jesus on May 2, 2006. This scholarship is given in loving memory of her life. For more
information please go to samsrock.net.
**Local area schools include: UofL, Bellarmine, Spalding JCC, Galen & IUS; please note that if you
attend IUS that you must reside in Kentucky in order to be eligible.
PERSONAL INFORMATION
Date:___________________
Name :_________________________________
First
Middle
______________________________
Last
E-mail Address
Address:___________________________________________________________________________
Street
City
State
Zip Code
Phone Number: ( _____ ) ____________________ Age: _________________
Marital Status: ____________________________________________ # of Children: ____________________________
School Attending:_________________________________________ Undergraduate Program: ______________
Current Year: ______________ Anticipated Date of Program Completion: ___________________________
Enrolled As: _______________ Full Time (12 hrs. or more) ___________________ Part time (<12 hours)
Current Employer:
__________________________________________________________________
Hours Working Per Week: __________________________ Hourly Wages: ________________________________
Spouse’s Name: ________________________________ Occupation: _______________________________________
First
Middle
Last
Place of Employment: _________________________________ Salary ______________________________________
If Single, Parent/Guardian’s Name: _____________________________________________________________________
First
Middle
Last
Place of Employment: _____________________________________________________________________________________
Occupation: _____________________________________________________ Salary: _________________________________
FINANCIAL EVALUATION
Estimate Monthly Expenses: _____________________________________________________________________________
Comment: __________________________________________________________________________________________________
Value of Bank Accounts Savings: _____________________________ Checking: _______________________________
Outstanding Loans (include credit cards): ______________________________________________________________
School Expenses (Uniforms, Books, etc.): _______________________________________________________________
Financial Evaluation Continued
Other Expenses (Describe): _________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
Have you or do you plan to receive any assistance from the following:
BEOG (Pell Grant)
Educational Loans
Public Assistance
Other State or Federal Aid
VA Benefits
Scholarships
Work Study Program
Non Public Award
Other
Parent or Relative
How are you financing your education for the current semester? ______________________________________________________
________________________________________________________________________________________________________________________________
What is your current semester tuition? ___________________________________________________________________________________
EDUCATIONAL INFORMATION
High school, College or GED
Address
Dates Attended
Degree/Diploma
Describe any awards or recognition that you have received that would have bearing on a grant award:
________________________________________________________________________________________________________________________________
Describe any professional, community related or educational activities in which you have been involved that
would lend support to your application:
Educational Information Continued
Employment Information: List three recent jobs you have held.
Employer
Address
Job Description
Dates
Hrs/Wk
DEGREE PLANS & EDUCATION GOALS
Write a statement of your personal educational goals, include any long range educational plans
that you have established for yourself (example: transferring to a senior institution or working
toward a higher degree at some future date.) Explain how you intend to apply your training.
Following completion, please submit the application, reference letters, and current transcript in
one envelope to the address or email below. Only completed applications (including
reference letters and transcripts) received by March 30th will be considered.
Debi McDonald
331 Conner Station Rd
Simpsonville, KY 40067
or dmcdonaldhats@aol.com
Dates to Remember:
Application Deadline: March 30
Personal Interviews: mid April - you will be contacted to arrange a time
Committee Decisions: Late April
Congratulatory Luncheon: May exact date to be announced - not mandatory to attend