AMANDA M. DICK HONORARY SCHOLARSHIP 2025

AMANDA M. DICK HONORARY SCHOLARSHIP 2025

Deadline: March 15, 2025
Dear Scholarship Applicant:

Applications for the Amanda M. Dick Honorary Scholarship are now being accepted. Please carefully review this informational letter and the Scholarship Requirements / Guidelines to assist you in completing your Application Packet.

To be eligible for consideration at time of submission, your Application Packet must be complete and include the following items:

Completed two-page application form
Upload Official transcript of most-recent grades
Upload Proof of Acceptance to the medical school you plan to attend
Upload Two signed Letters of Recommendation
Upload Typed, one-page autobiographical letter summarizing your objectives for further education, need for assistance, and your desire to pursue a career in the medical field

Application Packets must be received in its entirety by March 16. Late or incomplete Application Packets will not be accepted.

The Amanda M. Dick Honorary Scholarship is awarded to one recipient annually. To be considered, candidates must apply each year.

Information in your Application Packet may be shared with the Schneck Medical Center Human Resources Department.

By signing this application form, I hereby grant Schneck Medical Center the right to distribute and/or publish my name for medical, scientific, educational, advertising, publicity, commercial, philanthropic and/or other reasonable and legitimate business purposes.

After the Scholarship Committee has completed their review, you will be notified accordingly by letter.

If you have any questions, please feel free to contact the Foundation at (812) 524-4244 or foundation@schneckmed.org.

REQUIREMENTS/GUIDELINES:

MISSION: To support female candidates who are pursuing a career in the medical field and are currently accepted into medical school.

GUIDELINES:
1. Applicant must be a female student currently accepted into medical school.
2. Primary consideration will be given to Jackson, Jennings, Scott, and Washington County residents. Residents of other counties may be considered based on available funds and at the discretion of the Scholarship Committee.
3. To be considered for an award, candidate must submit completed application no later than March 16 of the current application year. (Applications are available online at www.schneckfoundation.org or www.schneckmed.org)
4. Candidate must submit proof of acceptance into the medical school they plan to attend and provide their most-recent transcript of grades.
  The Foundation Scholarship Committee includes members of the Schneck Foundation Board, the Schneck Hospital Administrator (or his representative), and the Schneck Vice-President of Workforce and Organizational Development.
5. Scholarship award must be used for tuition only, not books, travel, housing, etc.
6. Awards will be paid directly to the medical school.
Amanda M. Dick Honorary Scholarship Application 2025-2026 Academic Year

(Information submitted may be shared with Schneck Medical Center Human Resources.)
Name

First Name & Middle InitialLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Age
Sex
County of Residence
Father's Name

First NameLast Name
Father's Occupation
Father's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name

First NameLast Name
Mother's Occupation
Mother's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number and Ages of Siblings (indicate if in college):
Marital Status
If Married, Spouse's Name

First NameLast Name
Spouse's Occupation
Do you have children?
Number and ages of children
Educational Background
High School Attended
Location
Year Graduated
Diploma Type
List of Schools Attended - Location - Years Attended - Major/Degree
Medical School where you have been accepted
Anticipated Degree (MD, DO, other)
Anticipated Date of Graduation
Area of Interest
Career Objectives
I am a current Schneck employee.

YESNO
If yes, what department?
I am a current Schneck employee tuition assistance participant.

YESNO
I have previously worked at Schneck Medical Center.

YESNO
If yes, please provide details.
EXTRACURRICULAR ACTIVITIES
Please list organizations, clubs and athletics you have been involved with, including years of involvement and leadership positions held:
Honors and Awards you have received:
Community Activities:
EMPLOYMENT HISTORY (PAST AND PRESENT)
Job Title/Description - Hours worked per week - Period of Employment
FINANCIAL RESOURCES
Estimated annual cost of attending school:
Estimated parent contribution:
Estimated student contribution:
List of current scholarships, grants and funds:
Existing educational loan balances
Other financial considerations:
Applicant must submit proof of acceptance into medical school, their most-recent grade transcript, personal statement and letters of recommendation. Letters of recommendations can also be sent directly to the Schneck Foundation.

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I certify that the information on this application is true and accurate to the best of my knowledge. I understand that information contained in this application and its supporting documents becomes property of Schneck Medical Center.

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Date Submitted:

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Date
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AMANDA M. DICK HONORARY SCHOLARSHIP 2025

Amanda M. Dick Honorary Scholarship Application 2025-2026 Academic Year

Educational Background