University of the Incarnate Word

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General Information – Baptist Health Foundation Scholarship2012-13(1) Applicants must be: US Citizens Enrolled full-time as a graduate student in one of the approved programs (MSNutrition, MSN, DNP, PharmD, OD, DPT) Must meet UIW’s GPA requirements for good academic standing Must have a 2012-13 FAFSA on file with the UIW Office of Financial Assistanceand must demonstrate financial need for funding (if selected for verification,verification process must be complete) and Must reside within the Baptist Health Foundation’s service area (approvedcounties of residence include: Atascosa, Bexar, Bandera, Comal, Guadalupe,Kendall, Medina and Wilson).(2) Applicants must submit the completed application packet (release of informationform, application, essay, resume, and letter of thanks) to the UIW Office of FinancialAssistance at the address listed below by no later than 5:00 p.m. August 1, 2012.Faxed and/or emailed copies of this application are acceptable.Office of Financial AssistanceUniversity of the Incarnate Word4301 Broadway, CPO 308San Antonio, TX 78209(3) Thank you letters must be attached to the application (do not send your letterdirectly to the foundation). Please address (but DO NOT mail) your “Thank you!”to:Scholarship CommitteeBaptist Health Foundation of San Antonio750 East Mulberry Avenue, Suite 325San Antonio, Texas 78212-3107(4) Completed applications will be reviewed by UIW representatives. Students will benotified via email to their Cardinal email account if the application is approved ordenied.(5) Award values vary based on need and availability of funding. If you are approved forthis scholarship, funding will be applied to your UIW tuition and fee account in lateAugust or early September of 2012. All funds will be posted towards Fall 2012charges.
2012-2013BAPTIST HEALTH FOUNDATION OF SAN ANTONIOSCHOLARSHIP APPLICATIONPlease print or type.Name: __________________________________________________________________________________________Last First MiddleID: _____________________________________________________________________________________________UIW Student IDSocial Security NumberPermanent Address: _______________________________________________________________________________Street City State ZipIs this address in: _____Bexar County _____Comal County _____Guadalupe County _____Wilson County_____Atascosa County _____Medina County _____Bandera County _____OtherE-mail: __________________________________ Telephone #:___________________________________________Program: _____MS Nutrition _____MSN _____ DNP _____PharmD _____OD ____Post-Professional DPTAre you a U.S. citizen _____yes _____ noDo you plan to work in the San Antonio area after graduation? _______________________________________________Have you completed a FAFSA for 2012-13? ______ yes______ noFOR OFFICE USE ONLYEFC _______________ Department Recommendation:COA _______________ Recommended for Funds _____yes _____noNeed _______________ Recommended Award $_______________GPA_______________Committee Chair, please submit a copy of this page to Desiree Kornrum-Byrne, Office of Financial Assistance,CPO 308, FAX 805-1233, email kornrumb@uiwtx.edu.RETURN THIS APPLICATION TO THE OFFICE OF FINANCIAL ASSISTANCE, UNIVERSITY OF THE INCARNTE WORD,4301 Broadway CPO 308, San Antonio TX 78209, FAX 210-283-5053Rev. 06/2012
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University of the Incarnate Word

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