FITZGIBBON HOSPITAL AUXILIARY AMBASSADORS

SCHOLARSHIP PROPOSAL/APPLICATION

2006-2007

To enhance the hospital and community, scholarship money is being offered for study in health related fields and other ancillary fields deemed appropriate by the scholarship committee. The committee reserves the right to accept or reject any and all applications.

The requirements for applicants are as follows:

1. Must be a resident of Saline County and/or an employee of Fitzgibbon Hospital and/or Affiliates.

2. A personal letter stating reasons for applying, stating need for this scholarship and disclosing other forms of assistance.

3. Must provide previous college, high school transcripts, or GED scores. If transcripts are not available applicant must provide first quarter or first semester transcripts upon completion and submit ACT scores.

4. Monies will be distributed in two increments, August prior to school beginning and again in January prior to the second semester. First quarter or first semester transcripts are required to meet a 2.5 GPA. If scholarship recipients receive a GPA of less than 2.5, scholarship committee has a right to review with recipient and withdraw monies.

5. Two letters of recommendation – (1) from employer, supervisor, co-worker, etc. (2) from a minister, teacher, friend, etc., stating character, need, aptitude, and emotional stability.

6. Must enroll in an accredited college, junior college. Accreditation must be by the state board of nursing or comparable professional board.

7. Non-students must furnish work history from employer or supervisor.

8. All applicants will be required to complete an interview by the scholarship committee.

9. Scholarships would be awarded only after certificate of acceptance to an academic program is presented. A copy of all College/University grades must be given to the scholarship committee.

10. Recipient will be required to fulfill one year of employment at Fitzgibbon Hospital and/or Affiliates after graduating from applicants designated degree. If the recipient cannot fulfill this obligation, he/she must repay the scholarship benefit in full. Per condition that there is no employment available in the chosen field at Fitzgibbon Hospital and Affiliates, the obligation would be voided.

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Signature of Applicant Date

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Parent or Legal Guardian

The application must be submitted by March 16, 2007 to the Fitzgibbon Hospital Auxiliary Scholarship Committee, Attn: Human Resources, PO Box 250, Marshall, MO 65340.