Medical Field Work Experience Scholarship

Personal Information

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Email*

Phone*

Semester you intend to start*

Class*

Scholarship Information

Do you have hands-on work experience in the medical field (including, but not limited to; Nurses, Physician Assistants, Emergency Medical Technicians, etc.)?*

Was your cumulative undergraduate GPA a 3.0 or higher? Please have your official transcript sent directly to Xavier for verification*

If yes, what was your cumulative undergraduate GPA?*

What school did you receive your undergraduate degree from?*

Please submit a personal essay (no more than 600 words) describing your relevant work experience in the medical field and why you deserve to receive this scholarship.*

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Acknowledgment

I have read and acknowledge the scholarship terms above and understand that a scholarship is not guaranteed to be given to me and may be revoked if terms are not met.

Signature*

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