REZIN ORTHOPEDIC SCHOLARSHIP PROGRAM

 

 

REZIN ORTHOPEDIC CENTERS, S.C.

VITAL CARE PHYSICIAL THERAPY CENTERS

SCHOLARSHIP APPLICATION

 

$1,000 Awards for the 2004-2005 Academic Year

 

 

 

 

 

Scholarships are available to individuals living in the counties of Grundy, Kendall, LaSalle, Livingston and Will who will be graduating in the spring of 2004 from high school or who are currently enrolled in a university/community college.Eligible applicants must be enrolling in or be enrolled in the fields Medicine which includes, but is not limited to, pre-med, physical therapy, occupational therapy, sports medicine, athletic training, medical technician or nursing.

 

 

Awards:

Two $1,000 scholarships will be awarded to individuals meeting the outlined criteria.Scholarships may be renewed pending reapplication and approval from the Scholarship Committee.

 

Scholarship Criteria

1. Applicant must be resident of Illinois and a U.S. citizen.

2. Applicant must have earned a minimum 3.0 GPA.

3. Applicant must be enrolled in a minimum of 12 credit hours per semester for the academic year.

 

 

 

 

Submission Deadline

Application, transcripts and supporting documents must be received by the

Rezin Orthopedic Centers Scholarship Committee by

5:00 PM, April 16, 2004

 

 

Award and regret letters will be sent in May, 2004

 

 

Rezin Orthopedic Centers, S.C.

1051 West U.S. Route 6, Suite 100

Morris, IL 60450

(815) 942-4875

www.ROCSC.com

 

Instructions

 

 

 

Please read the following instructions carefully before completing the application.Applications that are incomplete or unreadable will not be considered.Applications received by the Rezin Orthopedic Scholarship Committee after the deadline will not be accepted.

 

 

The Scholarship Committee evaluates applicants on the following points:

       Presentation � overall neatness, readability and thoroughness

       Organization � essay response is clear and to the topic

       Content � essay answers the question completely & thoroughly

       Form & Structure � applicant followed directions

 

1.�������� Please type or print the application.Attach a separate sheet if needed.Fill in every line on the application.If information is not available or not applicable write N/A.Sign the completed application.

 

2.�������� Provide one letter of recommendation.

 

����������� 3.�������� A copy of acceptable transcripts is required if you are a high school senior or a

����������������������� continuing university/community college student.If this is your first semester at

a university/community college and no current transcripts are available, check theappropriate box in the application.

�����������������������������������

Acceptable transcripts

����������������������������������� 1. Official high school or university/community college transcripts

����������������������������������� 2. Unofficial high school transcript from admissions and records office

����������������������������������� 3. Unofficial university/community college transcript from admissions

��� and records office

 

����������������������������������� Unacceptable documents as transcripts

1.      High school or university/community college Grade Reports are not

����� transcripts

�����������������������

����������� 4.�������� Review the criteria of this scholarship carefully.This scholarship requires a typed essay and additional documents so please attach them to your application.Make sure that your name is on all supporting documents.

 

5.�������� Mail application, transcripts and supporting documents to:

�����������������������

����������������������� Rezin Orthopedic Centers, S.C.

����������������������������������������������� 1051 West U.S. Rte 6, Suite 100

����������������������������������������������� Morris, IL 60450

����������������������������������������������� Attention:Eric Anderson

 

����������� 6.�������� All documents must be received by the Rezin Orthopedic Centers Scholarship Committee by 5:00 PM on April 16, 2004.

 

 

 

Faxed applications will not be accepted


REZIN ORTHOPEDIC SCHOLARSHIP PROGRAM

SCHOLARSHIP APPLICATION

2004-2005 ACADEMIC YEAR

 

 

Student Name ______________________________________________________________________________

 

 

Student ID/Social Security #_____________________________________________Date of Birth_________________________________

 

 

Street������������������������������������������ City���������������������������������������������������� State������ ������������Zip

 
Address________________________________________________________________________________________________________

 

 

Home Phone # ____________________________ Other Phone #___________________________E-mail ___________________________

 

 

Illinois ResidentYes��No������������� U.S. CitizenYes��No��������������������Marital StatusMarried���� Single���� Single-parent

 

 

��������������� Gender and ethnic group�������� Gender������������ Female������������������

��������������� are requested for���������������� ����������������������������� Male����������������������

��������������� statistical use only������������������ Ethnic Background

������������������������������������������������������������������� Native American������ Asian or Pacific Islander��������� Hispanic

����������������������������������������������������������������������������������� African American����� Caucasian���������������������������� Other

 

 

I am an adult entering college for the first time and do not have current college transcripts?�� Yes ��No

 

State

 

City

 

Name

 
������ High School__________________________________________________________________________________________________

 

 

������ ����������������������������������������

Dates attended:��� From ______________to ________________

 

Month/Yr.

 

Month/Yr.

 
��������������� High School Diploma__________���������������� GED___________

 

 

 

Month/Yr

 
I am seeking a(n):����������������������������������� ��Associate�s Degree������������������������� I will complete my degree________________�������

 

Month/Yr

 
������������������������������� ��Certificate ��������������������������������������� I will complete my certificate ________________

 

��������������������������������������������������������������� ��Transfer to ______________________________________When?____________

 

Month/Yr

 
��������������������������������������������������������������� ��Bachelor�s Degree��������������������������� I will complete my degree________________

 

 

My academic major/program of study is ___________________________________.My cumulative high school or college GPA is ________.���� ACT/SAT results:��� Verbal: ______________�� Math: ____________�� Composite: ____________

 

I attended ____________________________________University/Community College for the fall 2002 semester and I completed _______

 

credit hrs./clock hrs.I am currently enrolled at_____________________________ University/Community College for the spring 2003

 

semester and will complete ________credit hrs./clock hrs. I will have earned a total of ________college credits/clock hrs. by the end of spring

 

2003.I plan to enroll in ______ credit hrs./clock hrs. at __________________________ University/Community College for fall, 2003

 

semester.

 

 

I certify that the above information is accurate and correct to the best of my knowledge.

 

 

____________________________________�������������������������������������������� __________________________

Student�s signature������������������������������������������������������������������������������� Date

 

Rezin Orthopedic Centers Scholarship Program

1051 West U.S. Rte. 6, Suite 100

Morris, IL 60450

PH:815-942-4875

 

 

REZIN ORTHOPEDIC CENTERS, S.C.

SCHOLARSHIP PROGRAM ESSAY

 

 

ESSAY

 

Applicants are requested to write an essay describing their education and employment goals.The essay should include a brief discussion of the applicant�s academic achievements, awards, extracurricular and leadership activities.Applicants should include statements to illustrate why he/she would be the best candidate for the scholarship.Also, the essay should include a discussion of the applicant�s area(s) of interest and field(s) of study in the field of Medicine.