FRIENDS OF UNITYPOINT HEALTH-MERITER

2017HIGH SCHOOL SCHOLARSHIP APPLICATION

Each year the Friends ofUnityPoint Health-Meritervolunteers select recipients for scholarships to help further academic aspirations of high school seniors pursuing careers that are directly related to a healthcare profession.

Friends of UnityPoint Health-Meriteris a self-governing volunteer organizationmade up of over 500 volunteers. The Friends of UnityPoint Health-Meriter’s purpose is to enhance quality, personalized, and compassionate care for our patients, their families and visitors at all of our healthcare facilities. UnityPoint Health-Meriter volunteers offer their many talents, as well as, provide over 68,000 hours of volunteer service to our healthcare system each year. Additionally, the Friends of UnityPoint Health-Meriterconduct several fundraising activities throughout the year to purchase medical equipment, provide scholarships and to support various programs that complement patient and family care at our hospital. The Friends of UnityPoint Health-Meriter High School Scholarships are provided through financial gifts received at Meriter’sGreenbush Garden Bistro, Dr. Joe’s Coffee Clinic and through valet parking services.

SCHOLARSHIP ELIGIBILITY REQUIREMENTS

  • Must be a graduating Dane County High School Senior pursuingahealthcarecareer
  • Must plan to attend a fully accredited institution in the 2017 – 2018 academic school year
  • Must currently attend one of the following high schools: Abundant Day Christian, Belleville, DeForest, Deerfield, Edgewood, Madison Country Day,Madison East, Madison LaFollette, Madison Memorial, Madison West, Malcolm Shabazz, Marshall, McFarland, Middleton,Monona Grove, Mount Horeb, Oregon,Stoughton, Sun Prairie, Verona, Waunakee, Wisconsin Heights, or be a home schooled student.

(The Friends UnityPoint Health-Meriter Scholarship Committee does not award preferential consideration to applications received from Meriter affiliates.)

2017 Friends of UnityPoint Health-MeriterScholarship Deadline

Preferably sent electronically. Postmarked or delivered in personbyApril 6, 2017

Unfortunately, applications received after the 4/6/17deadline will not be considered!

The application materials are available at

Applicants please direct questions to your high school Guidance Counselor or

Friends of UnityPoint Health-Meriter Coordinator, Barbara Bruce at 608/417-6414

E-mail address:

Mailing Address:

Barbara Bruce, UnityPoint Health-Meriter, Volunteer Services, 202 South Park, Madison, WI 53715

All applicants will be notified by e-mail onApril 21, 2017

A Scholarship Reception will be held

Wednesday, May 3, 2017

4:30 – 7:00

Sheraton Hotel, 706 John Nolen Drive, Madison WI

608/251-2300

Scholarship determinations are at the sole discretion of the

Friends of UnityPoint Health-MeriterScholarship Committee.

All scholarship decisions are final.

2017Friends of UnityPoint Health-Meriter

High School Scholarship

Application Form

PRINT LEGIBLY

Applicant’s High School ______

Student’s Name ______

Address______

City, State, Zip ______E-mail Address ______

Preferred Phone #(Landline or Cell Phone) ______

Parent/Guardian Name(s) ______E-mail Address ______

You must be able to check at least one of the categories:

_____I am a resident of Dane County

_____I attend high school in Dane County

_____ My parent/grandparent/guardian currently works or volunteers at UnityPoint Health-Meriter.

Name of that person: ______

College Entrance Exam Score: _____SAT and/or ____ ACT

List the colleges or universities where you have applied and have been accepted.

______

______

“I am a United States Citizen or Resident Alien”_____ Yes _____ No

I certify that the information provided is complete to the best of my knowledge. If selected as a recipient I will attend the Scholarship Reception on May 3, 4:30-7:00 at the Sheraton Hotel, Madison, WI.

Signature of Applicant:______

Signature by e-mail accepted DateTime

2017 Friends of UnityPoint Health-Meriter Scholarship Deadline

(Preferably sent electronically) by April 6, 2017

E-mail address:

Postmarked or delivered in person by April 6, 2017

Unfortunately, applications received after the 4/6/17 deadline will not be considered!

2017Friends of UnityPoint Health-Meriter

High School Scholarship

Application Form

PRINT LEGIBLY

Please submit all of the following, single pages, and no stapled pages.

PERSONAL NARRATIVE: We want to learn more about you! Who are you? What personal convictions or values are most important to you? What childhood memory most influences how you live your life now?

DECISION AND COMMITMENT TO HEALTHCARE: High quality healthcare depends largely on a high quality workforce. What life experiences or academic coursework have motivated you to choose a career path in healthcare? When did you realize you wanted to pursue a career in the healthcare industry? Why are you excited to become a ______?

VOLUNTEERING AND INVOLVEMENT IN COMMUNITY: List your volunteer commitments in the past 5 years. What “take-away” have you realized from these experiences? How has your volunteering helped your community or a specific cause?

DIVERSITY, BACKGROUND AND OTHER INSIGHTS: Why are you uniquely qualified to be a Friends of UnityPoint Health-Meriter Scholarship recipient?

EXTRA-CURRICULAR INVOLVEMENT, EMPLOYMENT, HONORS, AWARDS, AND RECOGNITIONS:

Please attach a resume which includes a personal statement, education, activities, special honors, and work/volunteer experiences.

ACADEMICS AND TRANSCRIPT: Transcript can be sent electronically. (Plan for this EARLY!!)

LETTER OF RECOMMENDATION/REFERENCE (Optional): Academic or nonacademic considered.

2017 Friends of UnityPoint Health-Meriter Scholarship Deadline

Preferably sent electronically by April 6, 2017

E-mail address:

Postmarked or delivered in person by April 6, 2017

Unfortunately, applications received after the 4/6/17 deadline will not be considered!