DearCollege of Pharmacy Student:
The Minnesota Pharmacists Foundation has made available two$750 scholarshipsand one $1,000 Herb & Addie Whittemore Scholarship toMPSAmembers who would be considered outstanding individuals in the field of pharmacy at the University of Minnesota College ofPharmacy Minneapolis and Duluth campuses. These scholarships will be awarded to students who have shown leadership and involvement in extra curricular pharmacy-related activities including professional association and pharmacy interests outside pharmacy school itself. High GPA is not a concern in the placement of these awards.

In order for the Awards Committee to choose four such individuals, they must take into consideration:

The students' activities in the community.

The students' professional organization activities.

The students' leadership ability.

The students' personal ambition for him/herself and for the profession.

The students' must be a member of MPSA (Minnesota Pharmacy Student Alliance).

The students must not be on academic probation.

The students’ financial needs will not be taken into consideration.

The process of selection will be done through the Minnesota Pharmacists Foundation Board of Directors with the cooperation of the College of Pharmacy.

Students eligible are individuals who are presently enrolled at the University of Minnesota College of Pharmacy and are about to begin their 2nd, 3rd, or 4thprofessional year in the college.

Applications and additional information may be obtained from the following sources:

Minnesota Pharmacists Foundation – 651-697-1771.

Your completed application consists of five items:

The completed information sheet

Your answers to questions 1-4

Your two letters of recommendation

Your essay

Mail complete application to Minnesota Pharmacists Foundation, 1000 Westgate Drive, Suite 252, St. Paul, MN. 55114, attention AWARDS. Faxes and emails will not be accepted. No applications will be accepted after January 4, 2013.

The Foundation office must receive the applicationJanuary 4, 2013. The final selection will be based upon either an interview with the committee or student scoring. We hope that you will take this opportunity and complete the application.

Minnesota Pharmacists Foundation Student Award Information Sheet
NAME______PHONE #______

PRESENT ADDRESS______

(DURING SCHOOL)

CITY______STATE______ZIP______

I understand that I must be about to begin the 2nd, 3rd, or 4thyear and not on academic probation at the University of Minnesota College of Pharmacy Minneapolis or Duluth campuses.

Signed______Date______

Two letters of recommendation are required (not more than 2). One letter from an adult (non-pharmacy student) not related to you; one letter from an instructor, advisor, or staff person at the University of Minnesota College of Pharmacy. Please have the two letters of recommendation either mailed directly to the Foundation office or included with your application. These letters need to be received by January 4, 2013. Each applicant is responsible for assuring that these letters of recommendation are received by that date.

Names of two recommenders and positions:

1______2______

______
______
Please write a short essay, no longer than one single-spaced typewritten page. This essay should be on one of the following topics:

  • Describe your responsibilities for giving back to the profession of pharmacy, and the community, once you are established in practice.
  • Describe how you see yourself providing patient care in a pharmacy practice setting five years from now.
  • Select a pharmacy practice setting that is of greatest interest to you, describe why it appeals to you, and how you would provide patient care in that setting.

REMINDER: the Foundation office must receive your application no later thanJanuary 4, 2013. Please inform your recommenders of this application deadline, and check to make sure letters have been sent.

MINNESOTA PHARMACISTS FOUNDATION

STUDENT AWARD APPLICATION

Please answer the following questions honestly and correctly to the best of your knowledge. If more space is needed, attach a separate sheet of paper using a similar format.

1.List all professional or school organizations, clubs, activities, duties or involvement in which you have participated. These should be related to pharmacy or its allied profession. List only activities involved in during College of Pharmacy years.

Organization: ______

Activities: ______

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Offices held, if any: ______

Dates of involvement: ______

Organization: ______

Activities: ______

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Offices held, if any: ______

Dates of involvement: ______

Organization: ______

Activities: ______

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Offices held, if any: ______

Dates of involvement: ______

Organization: ______

Activities: ______

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Offices held, if any: ______

Dates of involvement: ______

2.List all other non-professional activities, duties, or involvement's (e.g. community, church, club, athletic). These should not be related to pharmacy or its allied professions. List only activities involved in since high school graduation.

Organization: ______

Activities: ______

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Offices held, if any: ______

Dates of involvement: ______

Organization: ______

Activities: ______

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Offices held, if any: ______

Dates of involvement: ______

Organization: ______

Activities: ______

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Offices held, if any: ______

Dates of involvement: ______

Organization: ______

Activities: ______

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Offices held, if any: ______

Dates of involvement: ______

3. In which fields of pharmacy, or other endeavors do you plan to practice after graduation? Please be as specific as possible.

______

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  1. List places of employment.

A. List pharmacy internship employment

Name and address of business: ______

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Type of business: ______

Position held: ______

Dates of employment: ______

Duties of employment: ______

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Number of hours worked per week: ______

B. List pharmacy employment other than internship

Name and address of business: ______

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Type of business: ______

Position held: ______

Dates of employment: ______

Duties of employment: ______

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Number of hours worked per week: ______

C. List any other employment during your college career

Name and address of business: ______

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Type of business: ______

Position held: ______

Dates of employment: ______

Duties of employment: ______

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Number of hours worked per week: ______

Name and address of business: ______

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Type of business: ______

Position held: ______

Dates of employment: ______

Duties of employment: ______

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Number of hours worked per week: ______