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Philanthropy Team
Mosaic Life Care Auxiliary
Mosaic Life Care Auxiliary Board of Directors
Auxiliary Funding
Auxiliary Gift Shop
Auxiliary Membership
Arthritis Awareness Starts With Understanding
Arthritis Awareness Starts With Understanding | Large Group Registration
Volunteer Services
Volunteer Opportunities
Become a Volunteer
Healthy Tomorrow
emPowerU
character education emPowers
Civic Engagement Immersions
e2 Fellowship
Programming Annual Report
STEAM After-School
STEAM Camps
Camp Invention
Take the LEAP
inspireU
Healthy Together
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About Us
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e2 education emPowers Scholarship Application
Application Deadline: March 15, 11:59 p.m.
PURPOSE
This scholarship has been established by Mosaic Life Care Foundation to provide financial assistance to past participants of emPowerU programs. The intent is to honor a former emPowerU participant who has demonstrated a commitment to improving the quality of life within the region. This individual exhibits emPowerU ideals of impacting real-life challenges within their school, community or region by collaborating with others to bring about positive change.
ESTABLISHING THE SCHOLARSHIP
Mosaic Life Care Foundation is a 501(c)(3) public charity dedicated to championing education and empowering people to build healthy and thriving communities.
CRITERIA
Accepted and enrolled in a post-secondary education program (technical school, career center, community college or university); minimum of 12 hours per semester.
Participated in emPowerU program.
Maintain a minimum 2.5 GPA on a 4.0 scale.
Provide two current letters of recommendation.
REFERENCE LETTERS
Upload two current letters of recommendation. Each letter must include date of letter, the author’s name, relationship to applicant, professional title of employment and employment place.
Example:
Month/Day/Year
John Smith, Intern Supervisor
Vice-President
ABC Accounting
1234 Elm St.
City, State, Zip
REQUIRED APPLICATION INFORMATION
1. Personal Information
2. Employer Information
3. Narrative Information
4. Transcript
5. Proof of acceptance and full-time enrollment.
6. Two reference letters
DISQUALIFICATION
Failure to complete and provide a complete application will be automatic disqualification.
PERSONAL INFORMATION
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
County
*
Email
*
Phone
*
EMPLOYER INFORMATION
Are you employed?
*
Yes
No
Employer
*
Length of Service
*
Job Title
*
Number of hours worked per week:
*
Supervisor's Name
*
First
Last
Supervisor's Phone
*
NARRATIVE INFORMATION
Please do not provide personally identifiable information.
emPowerU Participation (Check all that apply):
*
6-8 Grades Civic Engagement Immersions
High School Adulting 101
High School e2 Fellowship
Summer STEAM Camps
2018-2019 LEGO Robotics
Approximate date(s) of participation and name of school/group/institution).
*
What do you remember from your emPowerU experience?
*
How has your emPowerU experience made an impact in your life?
*
How has your education increased your commitment to improving the quality of life within the region?
*
What is attractive to you about St. Joseph and the Northwest Missouri region?
*
Why do you believe your community involvement is important?
*
What are your goals for the next five years?
*
List other monetary funds (financial aid, scholarships, grants) received including dollar amounts.
*
How did you hear about this scholarship opportunity?
*
School counselor
School website
Social media
Mosaic Life Care Foundation website
Word-of-mouth
Name of institution where you are currently enrolled:
*
Number of credit hours:
*
Previous semester GPA:
*
Cumulative GPA:
*
List awards or honors received in the last five years.
*
List extracurricular activities including community involvement, hobbies and interests within the last five years.
*
UPLOADS
Transcript indicating: cumulative and semester GPA, class rank, scale used.
*
Max. file size: 500 MB.
Proof of acceptance and full-time enrollment.
*
Max. file size: 500 MB.
Please upload Reference Letter 1
*
Max. file size: 500 MB.
Please upload Reference Letter 2
*
Max. file size: 500 MB.
Consent
*
In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge.
Incomplete scholarship applications will not be considered by the committee. Falsification of information may result in termination of any scholarship granted. This application becomes property of the Mosaic Life Care Foundation.