Saint Francis Healthcare Scholarship Program Application Learn more about the Saint Francis Healthcare Scholarship Program Fields marked with an * are required. The deadline for 2020 applications is 5 pm on July 17, 2020.For Which Scholarship Are You Applying?*More information on available scholarshipsSteven C. Bjelich Executive Scholarship - The Steven C. Bjelich Executive Scholarship is available for students pursuing a master’s degree in healthcare administration and awards a $5,000 per year scholarship to one recipient every two years.Other ScholarshipsStudent Type:*Traditional StudentNon-Traditional StudentPersonal InformationName:* Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Mailing Address:* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Primary Phone Number:*Email Address:* Marital Status:*MarriedSingleDivorcedMembers of Household:Please list the members of the household that YOU provide support forNameAgeDoes this person attend school? (Yes / No)Do you financially support this person? (Yes / No) EducationHigh School / GED:*Name of SchoolDates AttendedYears Completed College / Technical School:Name of SchoolDates AttendedMajor Field of StudyYears Completed Graduate School:(if applicable)Name of SchoolDates AttendedMajor Field of StudyYears Completed Current School Attending:*What Degree and Area of Healthcare Are You Currently Pursuing?*Have You Completed Your First Year in a Professional Curriculum of an Accredited Healthcare Program?*YesNoAnticipated Graduation Month / Year:*Enter "01" in the "day" field if exact graduation date is not known MM DD YYYY Special Achievements / Honors and Recognition: Extracurricular Activities / Community Involvement: Profession(s) or Trade(s) for Which You are Registered / Licensed: Financial InformationEstimate your financial resources for one year.How Are You Funding Your Education?*Student Income:*Please enter a number greater than or equal to 0.Spouse Income:*Please enter a number greater than or equal to 0.Parental Support:*Please enter a number greater than or equal to 0.Child Support:*Please enter a number greater than or equal to 0.Scholarships / Grants:*Please enter a number greater than or equal to 0.Tuition Reimbursement:*Please enter a number greater than or equal to 0.Student Personal Savings:*Please enter a number greater than or equal to 0.Other Support:*Please enter a number greater than or equal to 0.Have You Previously Received a Saint Francis Healthcare Scholarship?*YesNoIf Yes, When?*How Did You Hear About the Saint Francis Scholarship Program?*EmploymentCurrent Employer:Job Title:*Number of Hours You Work Per Week:Please enter a number greater than or equal to 0.List Other Types of Work You Have Done in the Past: Essay QuestionPlease answer the question below in an essay format. Your answer should be no more than one page, typed, double-spaced and attached to your application. The healthcare scholarship committee will score essays based on how thoroughly you answer the question; whether you use examples to illustrate your points; and whether you use correct grammar, punctuation and sentence structure. Essays are worth one-third of the total application score. Explain the life experiences that have shaped you into who you are today and how that has steered your education and career path.Essay Response Upload:*(5MB max file size)Additional Items to UploadCollege Transcript:(5MB max file size)Letter of Verification of Enrollment:(5MB max file size)Academic Letter of Recommendation:(5MB max file size)Personal Letter of Recommendation:(5MB max file size)AcknowledgementI certify that all of the above information contained in this application is complete and accurate. I understand that Saint Francis Healthcare System Foundation has the right to verify this information and that any information found to be false will disqualify this application.* Yes Fields marked with an * are required.EmailThis field is for validation purposes and should be left unchanged.