Wheaton Franciscan Healthcare - All Saints Foundation

WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS FOUNDATION Application for General Health Care Professional Scholarship Deadline: Friday, January 1, 2016

The Wheaton Franciscan Healthcare – All Saints Foundation Health Care Professional Scholarship is offered to current associates seeking a career in health care or advancement in their health care profession. Through generous donations to WFH-All Saints Foundation, WFH is pleased to afford our associates this opportunity for financial support in accordance with our value of Development.

Scholarship Criteria*: 1. Applicant must be a current Wheaton Franciscan Healthcare - All Saints employee in good standing and enrolled in a health care professional program. *Not applicable for nursing degree. 2. Applicants will be considered based on the following criteria:  The scholarship recipient must provide proof of enrollment in an accredited health care professional program  Longevity with WFH - All Saints; must be employed and have active status for at least one year  Must be in good standing, free of written warnings for at least 1 year  Financial circumstances indicating possible need  Scholastic Performance  Community and organizational volunteerism 3. The recipient is expected to remain employed by Wheaton Franciscan Healthcare at least during the timeframe of the award, longer is preferred. 4. 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 with this application or have them mailed directly to the address below. One letter should be from a Supervisor, Manager or Director within WFH - All Saints, and the other a general character reference (not from a relative). 3. Scholarship applicants are required to provide college transcripts showing academic performance in recent college coursework. 4. The scholarship recipient may be asked to meet with the respective scholarship donor and will be asked to attend a scholarship awards reception, tentatively scheduled for March 2016. 5. Return completed applications to: WFH - All Saints Foundation, Attn: Scholarship Committee, 3805B Spring Street, Suite 220, Racine, WI 53405, faxed to 262-687-8655 or dropped off at the Human Resources office. Date Submitted: 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: Personal Information: Name: Mailing Address: Telephone: work home cell Start Date at WFH - All Saints: Present Occupation: : Manager at WFH – All Saints: What type of health care professional program are you enrolled in?

Educational Background: 1. 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: 2. 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:

Employment/Community Service:

General Health Care Professional Scholarship 1. List present and former employers related to your career goals: Dates: Name and Address: Position:

2. List any community service activities you have been involved in: Organization: Activity:

Essay(s): Please include an essay, not to exceed one page typed (size 12 font), reflecting on any of the following topics –along with any circumstances or personal thoughts you wish the scholarship committee to consider when evaluating your application.

***Applicants applying for more than one scholarship must include a different essay with each application.

1. Why did you choose a career in the health care profession? 2. 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. 3. Tell us about a particularly challenging patient care or customer service experience you have had, why it was challenging and what did you learn? 4. Please explain how this education will assist you in advancing the healthcare profession for yourself and others in the profession. 5. Why have you chosen to work at Wheaton Franciscan Healthcare-All Saints? And how will advancing your degree help the Mission, Vision, and Values of our organization? 6. A statement about your educational and career goals, both short-term and long-range.

For Scholarship Committee Use Only: o Signature o Transcript included o Two Letters of Reference included o Typed Application and Essay

General Health Care Professional Scholarship