Apply for a Scholarship | The Christie Foundation

Health Profession Scholarship Application

Please read each section carefully, complete all fields, and click “Submit” at the end of the application. Form must be submitted electronically.

Please choose one

This is a:

New application for a Christie Foundation Scholarship

Scholarship Renewal Request(I have previously been awarded a Christie Foundation scholarship)

Section 1: Personal Information

First name

Middle initial

Last name

Email address

Phone Please include the area code.

Please list your permanent address or the address of your summer residence. If awarded a scholarship, it will be mailed to the address listed below.
Address of Your Summer Residence:

Street Complete mailing street address.

City City for mailing address.

State State for mailing address.

Zip Code Zip Code for mailing address.

County Where you graduated high school and/or have resided for at least five years.

Section 2: Academic Information

Provide information on the health profession-related program in which you are, or will be, enrolled.

Academic program e.g., BS/Biology, Medical Assistant certificate

School

School location

Expected graduation date

Cumulative GPA Required for all applicants.

All schools attended List in chronological order, beginning with high school, and give location, degrees or diplomas granted, and date completed. e.g., Everett Community College, Everett, WA - AS Degree - June 2009

Section 3: Health Profession Activities & Goals

Activities List co- or extra-curricular activities in which you have been involved, including jobs directly related to your chosen health profession.

Describe your commitment to East Central Illinois Please limit to 200 words.

Section 4: Essay

Why are you motivated to study nursing or medicine? Provide an example about an experience that drove you to pursue a health care career. Essay should be between 250 and 4,500 characters.

Section 5: Documents

Upload your documents here (JPG, JPEG, PNG, and PDFs accepted).

Use short file names with no spaces, symbols or extra characters. Please keep file sizes under 2mb.

Evidence of enrollment/acceptance Required for new applicants and those changing schools or academic programs only. * No special characters allowed in file names.

Transcript An unofficial transcript of your most recent academic experience. * No special characters allowed in file names.

Section 6: Consent and Certification

I have read the instructions and certify that the above information is correct and complete. I understand that in the event I do not complete the academic year for which an award is given, or I cease to be enrolled full time while an award is in effect, I will be required to refund the grant award in full. I also understand that typing my name below will be considered my electronic signature.

Signed

Date

Application Due Date: March 31, 2023

Application materials submitted electronically or postmarked after this date will not be considered. You will be sent a confirmation via email once all of your application materials have been received. All applicants will be notified of the committee’s decision before May 2023, and recipients will be notified via mail in late May - early June.

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