Ambassadors For Community Health: Scholarship Application

Ambassadors For Community Health: Scholarship Application
Scholarship Application - Academic Year 2023-2024

Deadline to Apply: Application must be received by March 12, 2023 before midnight

A complete application must include the following:
- Personal Information
- Financial Information
- Essay
- 2 currently dated recommendation letters
- Resume or CV
- Copy of most recent school transcript
Note: Files (pdf only) will only be accepted when labeled with the following format:

Last name_first name_file type

File types: financial, essay, recommendation, resume, CV, transcript, acceptance, namechange
Section 1

Personal Information
First Name*
Last Name*
Permanent Email Address*
example@example.com
Primary Mailing Address*
Phone number*
Date of Birth*

MonthDayYear
Date
Section 2

Scholarship Eligibility - you must be accepted or enrolled in a qualified healthcare program. "Pre" programs are not eligible.
School/University (for Healthcare program) *
Must be located in the State of Texas
Healthcare Programs/Major - Mark only one*

BSNMSNMDPTOTPharm DPADOOther, please describe below
If other, what is your major?
Anticipated Graduation Date for Healthcare program*

MonthDayYear
Date
Are you related to any member of the Ambassadors for Community Health Auxiliary or St David's Medical Center Board of Directors?*

YesNo
Are you an employee of St. David's Healthcare? *If yes, please answer the following question as well.*

YesNo
If yes, are you eligible for tuition reimbursement?

Yes (if yes, you are not eligible to apply)No
Are you a current/former volunteer at St. David's Healthcare? If yes, provide total number of volunteer hours in the next section.*

YesNo
If yes, total number of volunteer hours
How did you find out about this scholarship?*
Are you an US Citizen or Permanent Resident?* Birth Certificate, Valid Passport, US Citizenship Papers, or other permanent residence status proof may be required at a later date.*

YesNo (if no, you are not eligible to apply)
Have you recently been accepted into your qualified program and this upcoming year will be your 1st year? If yes, provide acceptance in next section.*

YesNo
If yes, attach proof of acceptance such as letter or email

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Does your name match on all parts of this application and submitted materials like transcript? If no, provide support for name differences such as marriage license in next section.*

YesNo
If no, provide support for name differences such as copy of marriage license or name change document.

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Section 3

Essays
Financial Essay: What are your financial needs? Please explain how you funded your current school year and how you plan to fund next year including tuition and fees. Please keep your answer to less than 250 words*

PDF
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St. David's Partnership hospitals have a unifying vision and mission that includes ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence Employees and volunteers alike seek to consistently emulate these values in completing their tasks and assigned duties. Consequently, St. David's Medical Center has been consistently recognized as one of the TOP 100 Hospitals in the nation and in 2014 received the Malcolm Baldrige National Quality Award.

Our mission at Ambassadors for Community Health - Auxiliary at St. David's Medical Center is to enrich the Central Texas community by providing support to patients and by funding scholarships for future healthcare professionals.

Write an original essay of 500 words or less that answers the following question: Considering the current state of healthcare, how do you plan to make an impact on healthcare in the future?

Formatting Requirement: Double spaced, Times New Roman 12pt, do not exceed TWO typed pages, PDF
File Upload - Essay*

Formatting Requirement: Include prompt at top of page, PDF, Double spaced, Times New Roman 12pt, do not exceed TWO typed pages
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Attach TWO Recommendation Letters that are currently dated - The two letters should come from different sources, for example, one from an educational source, such as professor or Dean, and one from a community member, such as Volunteer Coordinator or employer. The letters must be dated no earlier than the opening date of this application cycle (12/1), on applicable letterhead, and must be addressed to “Ambassadors for Community Health Scholarship Committee”
Attach 1st Recommendation Letter*

PDF
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Attach 2nd Recommendation Letter*

PDF
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Please attach a current resume or CV including all relevant healthcare work, volunteer experience, and college details like GPA
File Upload - Resume or CV*

PDF
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Please attach a copy of your most recent school transcript
File Upload - Transcript*

PDF
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Do you certify that the above application and attachments are true and correct?*

YesNo
Signature

Clear
Should be Empty:

Ambassadors For Community Health: Scholarship Application

Section 1

Section 2

Section 3