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Get Selena Spear Bayless Scholarship Application Form

McAlester Regional Health Center Selena Spear Bayless Scholarship Auxiliary Volunteer Services 1 Clark Bass Boulevard McAlester OK 74501 918 421Application Form Instructions Complete and return this form to the office of McAlester Regional Health Center Auxiliary Volunteer Service P. O. Box 1228 McAlester OK 74502. Include a letter stating your reason for applying for financial assistance and your plans after graduation. Provide a legible copy of your most current transcript. Provide at least two letters of reference. Submit the completed application by June 1 for Fall semester or January 2 for the Spring/Summer semester. McAlester Regional Health Center Selena Spear Bayless Scholarship Auxiliary Volunteer Services 1 Clark Bass Boulevard McAlester OK 74501 918 421Application Form Instructions Complete and return this form to the office of McAlester Regional Health Center Auxiliary Volunteer Service P. O. Box 1228 McAlester OK 74502. Include a letter stating your reason for applying for financial assistance and your plans after graduation* Provide a legible copy of your most current transcript. Provide at least two letters of reference. Submit the completed application by June 1 for Fall semester or January 2 for the Spring/Summer semester. Personal Data Name City Address State Zip Years/Months at this address Social Security Number Phone Citizenship name country What school are you attending Classification Dates of attendance What School will you be attending in the Fall/Spring What degree do plan to obtain When Financial Data How many hours will you carry per semester Are you receiving other grants scholarships or financial aid Yes No Source and amount Are you presently employed Yes No Place of employment full-time part-time Hours worked weekly Are others dependent on you financially Yes No If so who and how much financial assistance do you provide Activities Please list volunteer health care related and/or community activities. McAlester Regional Health Center Selena Spear Bayless Scholarship Auxiliary Volunteer Services 1 Clark Bass Boulevard McAlester OK 74501 918 421Application Form Instructions Complete and return this form to the office of McAlester Regional Health Center Auxiliary Volunteer Service P. O. Box 1228 McAlester OK 74502. Include a letter stating your reason for applying for financial assistance and your plans after graduation* Provide a legible copy of your most current transcript. O. Box 1228 McAlester OK 74502. Include a letter stating your reason for applying for financial assistance and your plans after graduation* Provide a legible copy of your most current transcript. Provide at least two letters of reference. Submit the completed application by June 1 for Fall semester or January 2 for the Spring/Summer semester. Provide at least two letters of reference. Submit the completed application by June 1 for Fall semester or January 2 for the Spring/Summer semester. Personal Data Name City Address State Zip Years/Months at this address Social Security Number Phone Citizenship name country What school are you attending Classification Dates of attendance What School will you be attending in the Fall/Spring What degree do plan to obtain When Financial Data How many hours will you carry per semester Are you receiving other grants scholarships or financial aid Yes No Source and amount Are you presently employed Yes No Place of employment full-time part-time Hours worked weekly Are others dependent on you financially Yes No If so who and how much financial assistance do you provide Activities Please list volunteer health care related and/or community activities. .

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