Saint Francis Healthcare Scholarship Program Application Learn more about the Saint Francis Healthcare Scholarship Program "*" indicates required fields The deadline for 2024 applications is 5 pm on June 28, 2024.For Which Scholarship Are You Applying?*More information on available scholarships Steven 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 Scholarships Personal InformationName:* Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Mailing Address:* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary Phone Number:*Email Address:* Marital Status:* Married Single Divorced Members 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) Add RemoveEducationHigh School / GED:*Name of SchoolDates AttendedYears Completed Add RemoveCollege / Technical School:Name of SchoolDates AttendedMajor Field of StudyYears Completed Add RemoveStudent ID Number:* Graduate School:(if applicable)Name of SchoolDates AttendedMajor Field of StudyYears Completed Add RemoveCurrent 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?* Yes No Anticipated Graduation Month / Year:*Enter “01” in the “day” field if exact graduation date is not known Month Day Year Special Achievements / Honors and Recognition: Add RemoveExtracurricular Activities / Community Involvement: Add RemoveProfession(s) or Trade(s) for Which You are Registered / Licensed: Add RemoveFinancial 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?* Yes No If 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: Add RemoveEssay 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. Communication in healthcare is critical. Successful communication between the patient and caregiver often results in positive experiences. Identify potential barriers to successful communication within your healthcare-related degree field and explain how you would address and overcome them.Essay Response Upload:*(5MB max file size)Max. file size: 5 MB.Additional Items to UploadCollege Transcript:(5MB max file size)Max. file size: 5 MB.Letter of Verification of Enrollment:(5MB max file size)Max. file size: 5 MB.Academic Letter of Recommendation:(5MB max file size)Max. file size: 5 MB.Personal Letter of Recommendation:(5MB max file size)Max. file size: 5 MB.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.PhoneThis field is for validation purposes and should be left unchanged.