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Community Benefit
Volunteers (MAVO)
MAVO Scholarship Program Application
Volunteers (MAVO)
MAVO Scholarship Program Application
MAVO Scholarship Program Application
Philosophy
It is the desire of the MAVO to provide scholarship monies to students. These scholarship monies will be granted to students seeking advanced education in healthcare occupations.
It is the intent of MAVO that these scholarships are granted to students IN NEED OF FINANCIAL ASSISTANCE.
Eligibility/Criteria for Selection
- Students must carry a minimum of 6 credits per semester and demonstrate satisfactory progress.
- The academic year for the scholarship will be considered August 1- July 31 of each year.
- St. Joseph Mercy Hospital employees and/or their dependents will receive priority consideration.
Application Procedure
- The student must submit the following information on or before April 30th to Cindy Henrion in the Human Resources Department or electronically to
henrionc@trinity-health.org
- Submit a transcript of your most recent classes.
- Enclose a copy of the acceptance letter into the specified degree program (e.g. letter indicating acceptance into a RN program) or if not applicable a letter of acceptance into the college you will attend.
- Enclose a letter of recommendation from an employer or teacher.
Acceptance
The names of scholarship recipients will be posted on this web site in May. Recipients will be announced at the MAVO Annual Meeting in June of each year.
Recipients Responsibilities
Each recipient of a MAVO Scholarship will be responsible for the following:
- Submit an unofficial copy of the grade transcript for each semester to the Scholarship chairman through the Human Resource Dept.
- You must contact the chairman of any change in student status.
Disbursement of Scholarship Funds
Funds will be disbursed to the designated schools in two increments of $600. The first increment of $600 will be disbursed in July for the Fall semester. The second increment of $600 will be disbursed for the Winter semester after we receive a copy of the transcripts showing passing grades for the Fall semester. It is the responsibility of the scholarship recipient to provide the grades to the Volunteer Coordinator at St. Joseph Mercy Hospital at the end of each semester.
ST. JOSEPH MERCY HOSPITAL AUXILIARY SCHOLARSHIP APPLICATION DEADLINE IS APRIL 30
* Indicates required information
First Name
*
Last Name
*
Street Address 1
*
Street Address 2
City
*
State
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip
*
Phone Number
*
Email Address
*
Are you employed?
*
Yes
No
If yes, where?
If St. Joseph Mercy employee, date of hire
(mm/dd/yyyy)
Department
Do you have relatives employed at St. Joseph Mercy?
*
Yes
No
Name
Relationship
Department
Field of Health Care Study
*
High School
*
Graduation Date
*
(mm/dd/yyyy)
Accepted into Program at College
*
Collage Address
*
Date of Expected Graduation
*
Student Number
*
Credits Completed
*
GPA
*
Have you previously recweived a scholarship through MAVO?
*
Yes
No
Are you eligible for the St. Joseph Mercy Hospital tuition program
*
Yes
No
Are you eligible for any other assistance? If so, what?
*
Marital Status
*
Number of Dependents
Spouse's Name
Spouse's Place of Employment
Applicant's Annual Income
*
Spouse's Annual Income
For students who are calimed as a dependent, for income tax purposes you must furnish the following information to be considered.
Name of Parents or Guardian
Occupation of Father
Father's Annual Income
Occupation of Mother
Mother's Annual Income
Number of Dependents Claimed Last Calendar Year
I have chosen to pursue a career in this field because
*
Is there anything else you would like the committee to know?
By initialing below, I give St. Joseph Mercy Hospital permission to release my name to the news media as a recipient of the scholarship award.
Initials
Date
*
(mm/dd/yyyy)
Authentication
*
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