Liz Courain Madison House Graduate Degree Scholarship Application

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In what area(s) did you volunteer, what were your responsibilities, what lessons did you learn that will help you in your chosen health care career, how did this experience make a meaningful impact on your life/education/future?
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List your academic awards, honors and membership activities:
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List other financial assistance you will receive or have been awarded for this degree (scholarships, grants, financial aid, or other). Submit copy of Student Aid Report (SAR), "summary of FAFSA", if applicable.
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List your extracurricular activities, hobbies, outside interests and community service:
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Please include information on two individuals who have agreed to write a recommendation for you. Do not use family, friends or Volunteer Services staff. We will send an email to the references you provide below, asking them to complete a brief on-line questionnaire. Please notify your references in advance so they will be expecting our email. The deadline for the references to respond is April 1st. If two references are not received by April 1st your application will be considered incomplete and will not be accepted for review.
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I understand that my application will be reviewed by the Scholarship Committee of the UVA Hospital Auxiliary which will select a winner. I understand that the scholarship funds will be made payable to the school that I will attend.