HTML Preview Printable Scholarship Application page number 1.


Please submit your completed application to: Attn: Human Resources Department
• Mary Free Bed Rehabilitation Hospital • 235 Wealthy SE • Grand Rapids, MI 49503-5299
scholarship@maryfreebed.com • 616.840.8000 • 800.528.8989 ext.58667
235 Wealthy SE
Grand Rapids, MI 49503-5299
616.840.8000 • 800.528.8989
SCHOLARSHIP PROGRAM CRITERIA
The Mary Free Bed Guild has established annual scholarships for minority students pursuing degrees in nursing,
physical therapy, occupational therapy, speech language pathology, therapeutic recreation, neuropsychology or
orthotics/prosthetics. An individual is eligible to apply for a one-year scholarship for education-related expenses if he
or she meets the established criteria. The scholarship amounts will vary depending on individual needs.
Eligibility Requirements:
Black or African American, Asian, Hispanic or
Latino, Native Hawaiian or Other Pacific
Islander, American Indian or Alaskan Native
Citizen of the United States
Currently enrolled in, or accepted into an accredited college or
university as a full-time, degree-seeking student in a nursing,
therapeutic recreation, orthotics or prosthetics program; or as
a graduate level physical therapy, occupational therapy,
neuropsychology or speech language pathology student
Demonstrates a commitment to serving diverse
populations
Cumulative college GPA of 3.0 or better on a
4.0 scale (overall and in the chosen area of
study)
Must be a permanent resident in one of the following
counties: Oceana, Newaygo, Mecosta, Muskegon, Montcalm,
Ottawa, Kent, Ionia, Allegan, Barry, Eaton, Van Buren,
Kalamazoo, Calhoun
Demonstrates leadership abilities through participation in
community service, extracurricular, or other volunteer
activities
INSTRUCTIONS FOR COMPLETING SCHOLARSHIP APPLICATION
Please complete the application by typing or printing legibly. Only completed and signed applications will be
considered. Please submit the following items with this completed application form.
1. Copy of your most recent transcript of grades from current or last school attended. An official transcript
from the school is required by the April 1, 2016 application deadline.
2. Three original letters of recommendation from individuals who are not related to you, the applicant. One
must be from a faculty advisor. At least one should reflect your interest in a nursing, therapy or neuropsychology
career. All must be in original form, and must be signed and addressed to the Scholarship Selection Committee at
the address noted below.
3. On a separate sheet of paper, please specify your involvement, and dates of participation, in community
service, extracurricular activities, volunteer involvement, and any awards and honors you have received.
4. On a separate sheet of paper, please prepare a personal statement, not to exceed 1,500 words, indicating your
interest in and commitment to a nursing, therapy, neuropsychology, orthotics or prosthetics profession, examples
of your involvement in your minority community, your career goals, any other information on significant financial
difficulties you are experiencing, and why you feel you should be selected to receive the scholarship.
5. Conduct research of Mary Free Bed Rehab Hospital through the website www.maryfreebed.com and/or other
methods of your choice and include observation/comments in your personal statement or as an addendum.
6. Provide proof of citizenship.
7. Provide copy of driver’s license or other State-Issued ID (copies of both front and back).
8. Provide a letter of acceptance into your chosen program.
9. Provide a copy of your complete Student Aid Report (SAR). This is obtained after filing your Free Application for
Federal Student Aid (FAFSA) and must show the “Application Receipt Date:” “Processed Date:” and “EFC”
(estimated family contribution).
Mary Free Bed Guild
Minority Scholarship Application
2016-2017 Scholarship Program
Deadline: Postmarked by April 1, 2016
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