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Home
Healthy Today
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Why Give
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FAQ’s About Giving
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CARES Act
Philanthropy Team
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Auxiliary Board of Directors
Auxiliary Funding
Auxiliary Gift Shop
Auxiliary Membership
Volunteer Services
Volunteer Opportunities
Become a Volunteer
Healthy Tomorrow
character education emPowers
emPowerU
e2 Fellowship
Programming Annual Report
STEAM After-School
STEAM Camps
Camp Invention
Healthy Together
character education emPowers
Think Ahead Works®
Scholarships
Grants
Albany
Gift Shop
Hospital Philanthropy
FAQ’s About Giving
Ways To Give
Why Give
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Donate Now
Mary Alice Hartigan Scholarship Application
Application Deadline: March 15, 11:59 p.m.
PURPOSE
The Mary Alice Hartigan Scholarship for Nursing provides financial support to individuals for healthcare education in the field of nursing and surgical services with an emphasis on surgical nursing. Created in 1999 to honor the late Mary Alice Hartigan, friends, family, and co-workers of Mrs. Hartigan partnered with Mosaic Life Care Foundation to establish this fund to serve as a tribute to her years of dedication to the profession of nursing and devotion to the field of surgical services.
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
Minimum enrollment of 12 hours of study for a regular semester or equivalent full-time status in an accredited nursing or surgical services program.
Maintain a 2.5 or above GPA in a 4.0 scale and meet acceptable academic standards of the institution in which enrolled.
Indicate prior and current volunteer service to humanity and healthcare, if applicable.
Demonstrate financial need.
Provide references and recommendations.
Must reside within the Mosaic Life Care Foundation service region.
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 place of employment. Example:
Month/Day/Year
John Smith, Intern Supervisor
Vice-President
ABC Accounting
1234 Elm St.
City, State, Zip
INFORMATION REQUIRED FOR THIS APPLICATION
1. Personal Information
2. Employer Information
3. Narrative Information
4. Transcript
5. Proof of acceptance and full-time enrollment
6. Two reference letters
PERSONAL INFORMATION
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
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
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
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
Romania
Russian Federation
Rwanda
Réunion
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
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
County
*
Email
*
Phone
*
EMPLOYER
Are you employed?
*
Yes
No
Employer:
*
Job Title:
*
Number of hours worked per week:
*
Supervisor Name:
*
First
Last
Supervisor Phone:
*
NARRATIVE INFORMATION
Please do not provide personally identifiable information.
Degree and career field you plan to pursue:
*
Why are you pursuing this career?
*
What are your career goals?
*
Name of institution where you are currently enrolled and date of acceptance:
*
Previous semester GPA:
*
Cumulative GPA:
*
Anticipated graduation date:
*
Why are you applying for this scholarship? How will it enhance your professional skills?
*
Share your financial need; include anticipated costs and any extenuating circumstances:
*
List other monetary funds (financial aid, scholarships, grants) received including dollar amounts.
*
Work experience including: length of service, number of weekly hours, number of hours you plan to work during your school year.
*
If you have worked in nursing or surgical services, please describe your experiences and note clinical excellence achievements.
List any volunteer information from the past one year (prior and current) - where when, number of hours and name of supervisor(s).
*
List extracurricular activities including community involvement, hobbies and interests within the last five years.
*
UPLOADS
Uploaded documents must be in pdf format. Any other format will automatically disqualify the application.
Transcript indicating: cumulative and semester GPA, class rank, scale used
*
Max. file size: 500 MB.
Must be in pdf format.
Proof of acceptance and full-time enrollment
*
Max. file size: 500 MB.
Must be in pdf format.
Please upload Reference Letter 1
*
Max. file size: 500 MB.
Must be in pdf format.
Please upload Reference Letter 2
*
Max. file size: 500 MB.
Must be in pdf format.
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.