Mosaic Life Care Auxiliary Scholarship

Mosaic Life Care Auxiliary Scholarship
Online application closes May 15, 11:59 p.m. An application will be disqualified if supporting documents are not included and if reference letters have not been postmarked by this date.
MOSAIC LIFE CARE AUXILIARY MISSION
The Mosaic Life Care Auxiliary, an organization of caring volunteers, in cooperation with Mosaic Life Care, promotes community goodwill and provides support to enhance healthcare for our patients and their families.
PURPOSE
The Mosaic Life Care Auxiliary awards scholarships to individuals pursuing a baccalaureate degree, who have demonstrated excellent leadership skills, academic achievement and community involvement. Students must meet minimum requirements. The Auxiliary Scholarship committee will make final selections.
ELIGIBILITY
Applicants must be a high school senior or currently enrolled in undergraduate studies.

High school senior applicants must provide documentation of acceptance into a college or university.
CRITERIA
Applicant must be a current or past Mosaic Life Care volunteer or a Hillyard Technical Center student enrolled in a health care program.

Perform in accordance with organizational standards and behavior.
REFERENCE LETTERS
Please provide two recommendations; one of which is from the area in which you volunteered or interned, to julie.case@mymlc.com. Letters must include: author's name, title, company, applicant's name and relationship to applicant.
AWARD
Each selected recipient will be notified of the $1,500 scholarship.

Funds will be sent to the recipient's educational institution.

This scholarship is available for first time applicants and is eligible for reapplication from previous award winners upon qualifications and continued volunteer service. NOTE: First time applicants will be given priority over any second time applications for renewals. A total of six scholarships are available for presentation.
INFORMATION REQUIRED FOR THIS APPLICATION
1. Personal Information

2. Narrative Information

3. Reference Letters

4. Uploads
PERSONAL INFORMATION
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Date of Birth*
Parent/Guardian Name*
First Last
Parent/Guardian Relationship*
Parent/Guardian Phone*
NARRATIVE INFORMATION
Please do not provide personally identifiable information.
Current High School or College/University*
Anticipated Graduation Year*
Degree and career field you plan to pursue:*
Were you enrolled in a Hillyard service program over the past 12 months?*
Within the last 12 months, from the date of the application, how many hours have you volunteered with Mosaic?*
List area(s)/department(s) you are currently volunteering or interning.*
List school activities, organizations, clubs. etc. in which you have participated.*
Activity, Organization, Club, Sports, Etc. Grade Level Leadership Role

High School Seniors: List all activities from ninth through twelfth grades.
Undergraduate: List all college activities.
List community activities and volunteer work in which you have participated.*
Community Activity/Volunteer Work Total Hours Location Description of Responsibility

High School Seniors: List all activities from ninth through twelfth grades.
Undergraduate: List all college activities.
List awards or honors received:*

High School Seniors: List all activities from ninth through twelfth grades.
Undergraduate: List all college recognition or honors.
List leisure time activities, special interests and other relevant information about yourself:*

High School Seniors: List all activities from ninth through twelfth grades.
Undergraduate: List all college recognition or honors.
What characteristics do you have that make you a perfect fit for a Mosaic Life Care volunteer and/or intern?*
REFERENCE LETTERS
Please provide two recommendations; one of which is from the area in which you volunteered or interned, to julie.case@mymlc.com. Letters must include: author's name, title, company, applicant's name and relationship to applicant.
UPLOADS
Transcript indicating: cumulative and semester GPA, class rank, scale used.*
Max. file size: 500 MB.
Proof of acceptance into a college or university.*
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 Auxiliary.

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Mosaic Life Care Auxiliary Scholarship

MOSAIC LIFE CARE AUXILIARY MISSION

PURPOSE

ELIGIBILITY

CRITERIA

REFERENCE LETTERS

AWARD

INFORMATION REQUIRED FOR THIS APPLICATION

PERSONAL INFORMATION

NARRATIVE INFORMATION

REFERENCE LETTERS

UPLOADS

Main office

Caregivers

Forms

Newsletter

Resources

Activity, Organization, Club, Sports, Etc.	Grade Level	Leadership Role

Community Activity/Volunteer Work	Total Hours	Location	Description of Responsibility