MCVAA Legacy Scholarship Application

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Through the generous support of our alumni community, the MCV Alumni Association of VCU awards scholarships each year to incoming freshmen who are the children or grandchildren of active, dues-paying members.

To be eligible for a Legacy Scholarship, applicants must:

  • Be legal children, grandchildren or dependents of active, dues-paying members of the MCV Alumni Association of VCU (and the parent/grandparent must remain active for the duration of the scholarship). Preference will be given to eligible relative who has given volunteer time and/or resources to a school on VCU’s MCV Campus and/or to MCVAA.
  • Outstanding academic achievement as indicated in academic transcripts, faculty evaluations, by receipt of special academic honors, fellowships, awards or induction into national honor societies
  • Leadership, indicated by active participation in community-based work or initiation of innovation projects in school or community
  • Potential for distinguished contributions to health care as indicated by participation in research, volunteer work or unique clerkships or internships
  • Be a first-year student enrolled in an academic program on the MCV Campus

To be considered for a Legacy Scholarship, please complete this application and mail it by Aug. 1, 2018, to: MCVAA Legacy Scholarship Program, VCU Alumni, P.O. Box 842039, Richmond, VA 23284-2039.

Personal information

Applicant name (last, first, MI)
V#
MCV Campus school/program to which you have been accepted or are currently enrolled
Current mailing address
Permanent mailing address
Phone
Email
Date of birth
Marital status
Number of dependents

Education

Name / Location / Dates attended / Major / Degree
High school
Undergraduate
Graduate
Other

List all honors or awards received in undergraduate or graduate school. Include the name of the award, the school and the date.

List in chronological order, major professional, social, civic and student organizations in which you have participated.Include the date and specific activity.

Personalstatement

Please provide a statement discussing your motivation for a career in health care and career plans over the next 10 years. Please include how you fulfill the criteria for this award with emphasis on leadership roles and your potential for distinguished contributions.Statement should be no longer than 600 words.

MCV Alumni Association member information

Member’s name (last, first, MI)
Membership type /
Member’s relationship to the applicant
VCU school attended
Date of graduation
Address
Phone
Email

Please provide a statement of how you have remained involved with the alumni organization or with the university. Statement should be no longer than 400 words.

Signature and mailing instructions

I authorize my undergraduate school to release information concerning my academic status and financial aid package to the MCV Alumni Association in support of my application for the MCVAA Legacy Scholarship. I understand this application will be reviewed by members of the program’s selection committee and give my permission for this application and supporting documentation to be copied and distributed for this purpose. I also give my undergraduate school permission to release information to MCVAA concerning future address information and postgraduate training plans for follow-up purposes.

Signature ______Date ______

Please mail your completed application along with two letters of recommendation (from nonrelatives), two official academic transcripts (to include undergraduate school grades and the past academic semester, if applicable) and your resume to:

MCVAA Legacy Scholarship Program

VCU Alumni

P.O. Box 842039

Richmond, VA 23284-2039

All application materials must be received by Aug. 1, 2018.MCVAAcannot guarantee that applications received after the deadline date will be given consideration for awards. For more information, or for questions, email r visit