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MHIMA Jeanette Linck Scholarship Application

MHIMA Jeanette Linck Scholarship Application

About the Applicant

Name
Name
Address
Address
Program Director Name
Program Director Name

Organizations, Community Service, Honors/Awards, Work Experience, and Applicant Statement

Student Essay

Verification

I understand the following:

  1. I authorize the release of my grade point average (GPA) by the Program
    Director of the college or university in which I am enrolled.
  2. The award may be received only once.
  3. The application will be reviewed by the MHIMA Foundation.
  4. The contents of this application will otherwise be kept
    confidential but may be released for publicity purposes concerning the
    recipients of the award.
  5. My signature below indicates that I agree to the above statements and
    hereby acknowledge that the information in this application is true and
    correct.