Mary Ann Reinert Scholarship Application

Application Deadline: March 15, 11:59 p.m.
PURPOSE
The Mary Ann Reinert Scholarship provides financial support to individuals for healthcare education and training in the field of surgical medicine. In awarding the scholarship, the emphasis is placed on applicants who are pursuing careers in surgical nursing or surgical services, including nursing, technology, or any other surgical-related field. Friends and co-workers created this scholarship in 1988 to honor Ms. Mary Ann Reinert. Contributions to Mosaic Life Care Foundation for this scholarship 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.
Demonstrate an interest or skills in surgical services.
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.
Must reside within the Mosaic Life Care Foundation service region.
REFERENCE LETTERS
Provide 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
Please have each reference author email their letter to christina.lund@mlcfoundation.com
INFORMATION REQUIRED FOR THIS APPLICATION
1. Personal Information

2. Employer Information

3. Narrative Information

4. Post-Secondary Transcript

5. High School Transcript

6. Proof of acceptance and full-time enrollment.
PERSONAL INFORMATION
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 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:*
What are your career goals?*
Why are you applying for this scholarship? How will it enhance your professional skills?*
Name of institution where you are currently enrolled and date of acceptance into professional component of healthcare major:*
Previous semester GPA:*
Cumulative GPA:*
Anticipated graduation date:*
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
REFERENCE LETTERS
Provide 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
Please have each reference author email their letter to christina.lund@mlcfoundation.com
Transcript indicating: cumulative and semester GPA, class rank, scale used.*
Max. file size: 500 MB.
High school transcript:*
Max. file size: 500 MB.
Proof of acceptance and full-time enrollment.*
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.

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Mary Ann Reinert Scholarship Application

PURPOSE

ESTABLISHING THE SCHOLARSHIP

CRITERIA

REFERENCE LETTERS

INFORMATION REQUIRED FOR THIS APPLICATION

PERSONAL INFORMATION

EMPLOYER

NARRATIVE INFORMATION

UPLOADS

REFERENCE LETTERS

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