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Allen College

The Winter Family Promises to Keep

Award Application

The Winter Family “Promises To Keep Award” seeks to create a partnership between the student and Allen College. The goal of the award is to provide financial support for a deserving Allen College student while also creating a vision of philanthropy through this relationship that will benefit future generations of Allen College students. The name of the award signifies the recipient’s commitment to a future of philanthropy and service.

Undergraduate students who will enter their final year of study and who have demonstrated a history of philanthropy and service to their communities are eligible to apply. Potential applicants will be interviewed as part of the selection process.

Deadline to Apply

Applicants who will enter their final year of study must apply for the award by established deadlines:

April 1, 2017 for December 2017 graduates of the accelerated undergraduate nursing program – all other December 2017 graduates should have applied by November 1, 2016

April 1, 2017 for May 2018 graduates

November 1, 2017 for August 2018 graduates

November 1, 2017 for December 2018 graduates (does not include graduates of the accelerated program

Date:
Last Name: / First Name: / Middle Initial:
Maiden or Former Name(s):
Current Mailing Address:
Street:
City: / State: / ZIP:
County:
Phone: / Email Address:
Permanent Mailing Address:
Street:
City: / State: / ZIP:

Allen College program in which you will be enrolled your final year at Allen College:

HEALTH SCIENCES

Associate of Science in Radiography (ASR) / Medical Laboratory Science
Dental Hygiene / Nuclear Medicine Technology
Diagnostic Medical Sonography / Public Health

NURSING

Bachelor of Science in Nursing (BSN)
Expected Graduation Date from Allen College: / / / (MM/YY)

What other sources of financial assistance are you currently receiving?

Describe your previous and current philanthropy and/or community service experiences:


The Promises to Keep initiative is a unique partnership that leverages the gift of a donor to benefit current students. Here is the twist – future students will be depending on your partnership to keep the award going. Your future support is critical to the success of this initiative.

A key goal of the “Winter Family Promises to Keep” Award is for Allen College to receive a gift from 100 percent of the award recipients. This award reflects two promises:

·  The promise that the college will support the worthy recipient in order for the recipient to meet her or his educational goals to positively change the lives of others, and

·  The promise that the award recipient, as the result of having benefited from the award, will contribute back the amount of the award and become a lifelong donor to Allen College.

Allen College is asking you to:

1.  Make the most of your Allen experience – get involved.

2.  Consider the importance of offering your time, talent and resources to benefit future Allen students.

3.  Do everything possible to meet the requirements associated with your award, including making annual gifts.

Giving Back

Recipients of the Winter Family Promises to Keep Award are asked to pay back the amount of the award over several years, not to exceed 15 years. A suggested payment schedule will be provided to each award recipient. Recipients of the Award understand that they have no legal obligation to repay this award but rather an expectation, articulated at the time the award is made, that they will make every effort to return the amount of their award to the College in order to replenish the Award fund which will support future Allen College student recipients of this Award.

With your help, the donor’s original gift is perpetuated by every student who receives one and the cycle continues.

I understand the philosophy behind the award.

Promise To Keep Award Applicant / Date

Please email completed application to Rhonda Gilbert at or mail to:

Rhonda Gilbert

Allen College

1825 Logan Ave.

Waterloo, IA 50703

(319) 226-2011