Deadline: Open
Mission:
The RTH/BWH Believe and Achieve Scholarship was created by RTH in collaboration with Brigham and Women’s Hospital and Partners Healthcare. It was created in order to award deserving residents of the RTH community by supporting their personal ambition for job placement and career advancement through educational and vocational enrichment.
Requirements:
Your completed application and essay* should be submitted together with a letter of enrollment from the school you are attending to the RTH office, Attn: Anne Vinick at
2 New Whitney Street, Boston, MA 02115. The Scholarship Committee will review applications on a quarterly basis in January, April, July and October.
The scholarship applicants must be enrolled or have applied to an institution of higher learning or a vocational program that provides opportunities for licensing or other accreditation. All programs must be accredited.
*Interview:
All applicants must interview with the Scholarship Committee. Be prepared to discuss your interests, your educational and professional goals and any other experiences that motivated your decision to attend school. You will be contacted by telephone to set up a time for your interview. As there are many applicants to interview, it is very important for you to schedule a time as soon as possible. All interviews will be conducted on the last Wednesday afternoon of the months indicated above.
*Essay:
All applicants are also required to write an autobiographical essay. Please answer the following question:
What has motivated you to continue your education at this time and what obstacles, if any, have you overcome in preparation for your current educational undertaking?
All essays must be double-spaced in 12-font type.
*If you received this scholarship previously and no information has changed, including your major and the school you are attending, you are not required to interview or write an essay. You must only complete and submit the application.
Applicants may reapply at any time as long as the $4000. limit has not already been exhausted.
Process for Awarding Scholarships:
Once the Committee has accepted and reviewed all of the applications for a particular quarter, decisions will be made no later than fourteen (14) days after the end of the quarter. Applicants will receive a letter approving or denying their request. Awards will be sent directly to the educational institution.
Scholarship Amounts: Applicants can apply for up to $4000. See below for application
THIS FORM CAN BE PHOTOCOPIED. Incomplete applications will not be considered.
____________________________________________________________________________________________________
LAST FIRST M.I. SOCIAL SECURITY #
____________________________________________________________________________________________________
PERMANENT ADDRESS CITY STATE ZIPCODE
(_______)____________________________
TELEPHONE #
____________________________________________________________________________________________________
PRESENT ADDRESS (if different) CITY STATE ZIP CODE
(_______)_________________________ ___________________________________
TELEPHONE # EMAIL ADDRESS
B. EDUCATION HISTORY List all high schools and colleges/universities/training programs, etc…you have attended. Attach an additional sheet if necessary.
Name and address
of school |
# of years
attended |
Did you graduate?
Yes/No |
Dates Attended
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Degree or diploma earned |
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__________________________________________________________________________
SCHOOL NAME
__________________________________________________________________________
NAME OF DEGREE PROGRAM INTENDED DATE OF GRADUATION
________________________________________________________________________
SCHOOL NAME ADDRESS CITY STATE ZIP CODE
(Please use school address where
scholarship award should be sent)
(______)_____________________ Cost of program per year: $______________
SCHOOL TELEPHONE
(Check one): _____ This is a full-time program _____ This is a part-time program
Possible area(s) of academic concentration/major or undecided:
____________________________________
________________________________________________________________________
SCHOOL NAME
__________________________________________________________________________________________________________________
SCHOOL ADDRESS CITY STATE ZIP CODE
(______)___________________________
SCHOOL TELEPHONE NUMBER
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INTENDED COURSE TITLE |
CREDITS EARNED |
ACTUAL COST |
DATE COURSE STARTS |
DATE COURSE ENDS |
CERTIFICATE/ DEGREE EARNED |
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$ |
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$ |
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TOTALS: _______ $________
E. WORK EXPERIENCE
List any job (including summer employment) you have held during the past three years:
Specific Nature of Work
Employer
Dates of Employment
Part-time or
Full-Time?
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F. EXTRACURRICULAR, PERSONAL
AND VOLUNTEER ACTIVITIES
Please list your principle extracurricular, community and family activities and hobbies in order of their importance to you. (Use additional sheets if necessary)
Activity
Place
Approx. # hrs./month
Dates
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Please describe any academic or community distinctions or honors you have won, beginning in the ninth grade.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
__________________________________________________________________________
H. OTHER
ACTIVITIES (additional space on next page)
Are there any other community activities, events, fundraisers, etc… in which you have participated?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Are you applying for other scholarships this year? Yes_______ No________
If you have been awarded any of these, please list them:
NAME OF SCHOLARSHIPS AMOUNT
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Do you plan on taking out student loans? Yes _______ No ________
AMOUNT REQUESTING (up to $4000.): $___________________

I declare that the information reported above is true, correct and complete to the best of my knowledge.
________________________________________________________________________
SIGNATURE OF APPLICANT DATE
If under 18 years old:
NAME OF PARENT/GUARDIAN TELEPHONE #
SIGNATURE OF PARENT/GUARDIAN DATE
