ࡱ> tvs Qbjbj  qee ttttt8DL1 AJw!0000000$24C0t%"A%%C0tt0)))%Ltt0)%0))r.Ty/`T FM%/ 0001#/Vd5%d5y/d5ty/o"#h)i#T#Do"o"o"C0C0c)Lo"o"o"1%%%%d5o"o"o"o"o"o"o"o"o" ::  Covenant HealthCare Foundation Scholarships Application Scholarships awarded include: Covenant HealthCare Foundation (2) $2,000 awards The Dr. Robert M. Heavenrich Healthcare Scholarship (2) $2,000 awards The Covenant HealthCare Auxiliary Scholarship (2) $2,000 awards* Eligibility Criteria Covenant HealthCare Foundation will award six (6) non-renewable scholarships to graduating seniors currently attending a Saginaw, Bay, Tuscola, Arenac, Huron, Sanilac, Gratiot or Midland county high school. Applicants must have a 3.75 GPA or above (4.0 scale) and be pursuing an undergraduate degree in the human medical sciences or a field directly related to the health care industry at an accredited college or university for the academic year beginning Fall 2015. For the Covenant HealthCare Auxiliary Scholarship, priority will be given to applicants who have volunteered in a health related field. Application Information Application should be type written as much as possible. Completed application should include a copy of your high school transcript, a copy showing your composite ACT score, two (2) recommendations, and must be submitted by March 6, 2015. Please mail to: Scholarship Committee Covenant HealthCare Foundation 1447 North Harrison Saginaw, MI 48602-9911 Applicant Information: Name:  FORMTEXT       Home Address:  FORMTEXT       City:  FORMTEXT       Zip Code:  FORMTEXT       Phone Number:  FORMTEXT       Email Address:  FORMTEXT       Parents or Guardians Name:  FORMTEXT       High School currently attending:  FORMTEXT       GPA:  FORMTEXT      (4.0 Scale) Composite ACT Score  FORMTEXT       Colleges or Universities to which you have applied: Application status: 1.  FORMTEXT       City  FORMTEXT       ( FORMCHECKBOX ) Accepted ( FORMCHECKBOX ) Pending 2.  FORMTEXT       City  FORMTEXT       ( FORMCHECKBOX ) Accepted ( FORMCHECKBOX ) Pending 3.  FORMTEXT       City  FORMTEXT       ( FORMCHECKBOX ) Accepted ( FORMCHECKBOX ) Pending 4.  FORMTEXT       City  FORMTEXT       ( FORMCHECKBOX ) Accepted ( FORMCHECKBOX ) Pending Proposed course of study:  FORMTEXT       Please list any scholarships, grants or loans you have been awarded:  FORMTEXT       Amount $ FORMTEXT        FORMTEXT       Amount $ FORMTEXT        FORMTEXT       Amount $ FORMTEXT        FORMTEXT       Amount $ FORMTEXT       Academic Awards and School Involvement: List academic awards first and school involvement second (clubs, organizations, sports, etc.) over the last three (3) years. This may include awards, honors received, offices held and number of years or hours involved. 1.  FORMTEXT       2.  FORMTEXT       3.  FORMTEXT       4.  FORMTEXT       5.  FORMTEXT       If needed, please attach additional (typed) sheet. Paid Work Experience: List paid work experience. Indicate year(s) and hours involved. 1.  FORMTEXT       2.  FORMTEXT       3.  FORMTEXT       4.  FORMTEXT       5.  FORMTEXT       If needed, please attach additional (typed) sheet. Volunteer and Community Involvement: List volunteer work and areas where you have been involved in the community. 1.  FORMTEXT       2.  FORMTEXT       3.  FORMTEXT       4.  FORMTEXT       5.  FORMTEXT       If needed, please attach additional (typed) sheet. Personal Goals: Please provide a typed, attached statement outlining your reasons for your choice of academic=   4   / C  $ % & ' + , . / 9 :   (,.ռյȧգzhգ#jhrh;H>*UmHnHujhrhaM>*Uhrh;H>*jhrh;H>*UhZhd h5\ h5>* hCa5>*hazhCa6h hCa5\ hCaCJhCa hCa5CJ hCa56 hCa5CJ!jhCa5CJUmHnHu&$=>\   4   & '  !@ ^@ dh$a$$a$' VXhj\6JLN  !gddgdgd Bgd  !dd.0DFHRT`dfh|~ :@BVXZdf}jFhrhj>*Ujhrhj>*Uj^hrhj>*Ujhrhj>*UhZhdhCa#jhrh6N>*UmHnHujvhrhj>*Uhrhd>*jhrhd>*U/*,.8:<DJL`bdnp{wjbhrhZ>*jhrhZ>*UhZhh:wh5CJaJ hCaCJjhrhj>*Ujhrhj>*Uj.hrhj>*Uhrhd>*hdhCa#jhrh6N>*UmHnHujhrhd>*Ujhrhj>*U#  $&BDF`dfz|~ŸѸɘ͍ɘ͂͸rѸŸbjhrhj>*Uj`hrhj>*UjhjUjxhjUjhZUjhrhj>*Uhrh$C>*jhrh$C>*Uh6NhhZ#jhrh6N>*UmHnHujhrhZ>*Ujhrhj>*U& :>@TVXbdfhptv.ѻݟфyj hjUj hjUjhrhj>*Uh6Nj4hrhj>*Uhrh$C>*jhjUjLhjUhZjhZUh#jhrh6N>*UmHnHujhrh$C>*U-.02<>@BJNPdfhrtxz"$8㽭ͥɚ͒Ň́ul_Whrhl>*jhrhl>*Uh5CJaJh:wh5CJaJ hCJjh hjUjh6NUj hjUjhZUj~ hrhj>*Uhrh$C>*h6NhZh#jhrh6N>*UmHnHujhrh$C>*Uj hrhj>*U8:<FHN.02<>@BVXZdfhn|㹩͡㹑㹁ͥ͡qj hrhj>*Uj> hrhj>*Uj hrhj>*Uh6NhljR hrhj>*Uhrhl>*h:wh5CJaJh#jhrh6N>*UmHnHujhrhl>*Uj hrhj>*U*@tvBr  P  !dgddhgddhdhgddgdgd  $&(24:HLNbdfprtv,:㽭㽝㽍㇁xqmmmɇh h5\h5CJ\ hCJ hCJjhrhj>*Ujhrhj>*Ujhrhj>*Uhrhl>*h6Nhhl#jhrh6N>*UmHnHujhrhl>*Uj*hrhj>*U)024ؠ؎}ue}jdhrhj>*UhrhAL>*jhrhAL>*Uh"jhrhj>*CJU"jxhrhj>*CJU'jhrh6N>*CJUmHnHu"jhrhj>*CJUhrhAL>*CJjhrhAL>*CJU hCJh:whaJ 4>@JL`bdnp (*>@BLܼܵܭԝԍ}mjhrhj>*Uj<hrhj>*Ujhrhj>*UjPhrhj>*Uhh5 h5\hK%h5jhrhj>*UhrhAL>*hjhrhAL>*U#jhrh6N>*UmHnHu*LNPXZnpr|~2 *,68LNPZ\fh|޴}mjhrhj>*Ujhrhj>*Ujhrhj>*UhrhAL>* h5\hK%h5#jhrh6N>*UmHnHuj(hrhj>*Uhrh6N>*jhrh6N>*Uh6NhjhrhAL>*U%P2.^$&FT@r@BB"CCCdhdgd  !dgdgddhgddhgd dh^gd  !dgd6N|~&BFh @R@T@V@r@"CHCRCC&D.D*UhrhAL>*h#jhrh6N>*UmHnHujhrhAL>*Ujhrhj>*U# study and your future career objectives. Certification I hereby affirm that the information on this form is true and complete to the best of my knowledge. I am aware of the conditions under which the Covenant HealthCare Foundation s Scholarships are awarded and will inform the Foundation of any change in my eligibility. ___________________________________ ____________________________________ Student s signature Parent or Guardian s signature ___________________________________ ____________________________________ Date Date Application deadline is March 6, 2015  To ensure that your application is considered, please include: 1. Completed and signed application 2. Two (2) completed personal recommendations 3. Copy of most current high school transcript 4. Composite ACT score Please forward to: Scholarship Committee Covenant HealthCare Foundation 1447 North Harrison Saginaw, MI 48602-9911 989.583.7603 Rev. 01/12 (CR) PF09397 COVENANT HEALTHCARE FOUNDATION Scholarship Application Personal Recommendations To the Applicant All scholarship applications must be accompanied by two recommendations. One recommendation must be completed by a teacher, school counselor, administrator or supervisor. The other recommendation should be completed by a non-family member who can reply from personal experience and knowledge about your character, achievements and abilities. For Recommender Completion How long have you known the applicant?  FORMTEXT       In what capacity?  FORMTEXT       Describe what you consider to be the characteristic strengths or talents of the applicant? (350 words or less)  FORMTEXT       _________________________________________ ________________________ Recommender s Signature Date Name:  FORMTEXT       Street Address:  FORMTEXT       City:  FORMTEXT       State:  FORMTEXT       Zip Code:  FORMTEXT       Daytime Telephone:  FORMTEXT       Email Address:  FORMTEXT       Applicants must submit Personal Recommendations as a part of the total scholarship application package. Please return this recommendation to the applicant. It may be sealed in an envelope. Thank you.     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