Women S Auxiliary Of

WOMEN’S AUXILIARY OF PIONEERS MEMORIAL HOSPITAL Scholarship Application

FIRST TIME APPLICANTS:

 To be eligible an applicant must be accepted in the nursing program at Imperial Valley College or other medical programs acceptable to the Scholarship Committee.

 Complete Application.

 Include Unofficial Transcript of Grades from all nursing/medical colleges. (*IVC Foundation can provide transcripts for IVC classes)

 Personal Statement – give related information about yourself, explain why you are pursuing the medical field and your goals.

 Three Letters of Recommendation (no relatives).

 Only GPA of 3.0 or better will be considered.

 First time applicants will be contacted for interview.

PREVIOUS SEMESTER RECIPIENTS:

 Complete Application.

 Include Unofficial Transcripts of Grades from all nursing/medical colleges. (*IVC Foundation can provide transcripts for IVC classes)

 Updated Personal Statement – give related information about yourself; explain why you are pursuing the medical field, what you have achieved to date, and your goals.

ONLY COMPLETED APPLICATIONS WILL BE CONSIDERED. NO OTHER APPLICATION FORMS WILL BE ACCEPTED.

Deadline to Apply: Fall Semester: March 1- April 30, 2017 to be awarded August 2017

Submit your completed application along with a small picture of yourself to (Monica Rogers) in the IVC Foundation Office or the Pioneers Memorial Hospital Women’s Auxiliary Gift Shop. For more information please contact: Grace Edgar (602) 418-6826. PMH Women’s Auxiliary Scholarship Application

Please Print or Type

G#: ______(for IVC students) Date: ______

Name: ______

Address: ______

Phone: ______Cell: ______Work: ______

Education: High School Attended: ______Graduate _____ YES _____ NO Year______College: ______Graduate _____ YES _____ NO Year______Other Schooling: ______Graduate _____ YES _____ NO Year______YOUR NEXT SEMESTER WILL BE: 1st ______2nd ______3rd ______4th_____ Have you received scholarships from any auxiliary before? ______Are you working at a hospital now? ______If so…Where: ______When: ______Spouse’s Name (if married):______Occupation: ______Father’s Name and Address: ______Occupation: ______Mother’s Name and Address: ______Occupation: ______Children and/or Dependents and ages: ______Sources of Income (Grants, Scholarships): 1.______Amount: ______2. ______Amount: ______What other scholarships and/or financial aid have you applied for? ______Do you plan to work during the school year? ______YES _____ NO Name of College you are now attending and your current major: ______