2026 Middle Park Medical Foundation Employee Scholarship Application

Middle Park Medical Foundation Scholarship Guidelines and Application

Effective January 1, 2024
Scope:

The Middle Park Medical Foundation (MPMF) provides scholarships to eligible employees of Middle Park Health (MPH) who have gained admission to colleges, universities, vocational institutions, or continuing education/training programs in healthcare sciences. Scholarship selection is primarily determined by factors such as an applicant's career objectives, their employment history at MPH, their involvement in the community, and their financial requirements. Upon confirmation of enrollment, the scholarship funds will be disbursed directly to the educational institution chosen by the recipient. Once the MPMF annual scholarship budget dollars are exhausted for the year, no further scholarships will be awarded until the next fiscal year, which is January of the following year. All applicants are encouraged to reapply at that time.
Application Eligibility Requirements:
1. Before applying for an MPMF scholarship, applicants are required to utilize all Continuing Medical Education (CME) funds, if applicable, provided by MPH.

2. MPH employed physicians are not eligible to apply for MPMF scholarships.

3. To be eligible, applicants must have completed a minimum of 1 year of service at MPH and should have the capacity to continue their work at MPH.

4. Applicants must be currently employed at MPH and work a minimum of 30 hours per week.

5. Applicants are required to provide two letters of recommendation, excluding any from family members. These letters should come from faculty, employers, or other community members who are familiar with the applicant's personal qualities and work habits.

6. Applicants must submit their most recent performance evaluation received from MPH.

7. Applicants should not be under a Performance Improvement Plan (PIP) at the time of application.

8. All sections of the application must be completed in full. Please note that incomplete applications will not be considered.
Scholarship Awards and Service Commitment Guidelines:
1. Employees who have served at MPH for a minimum of 1 to 3 years are eligible to apply for a scholarship, with a maximum limit of $3,000 per year. If awarded, the scholarship recipient must commit to serving MPH for a duration of 1 year. This service commitment period commences from the date when MPM Foundation disburses payment to your educational institution.

2. Employees who have dedicated a minimum of 3 or more years of service at MPH can apply for a scholarship, with a maximum limit of $6,000 per year. Scholarship recipients in this category are required to commit to serving MPH for a period of 2 years. The service commitment period begins from the date when MPM Foundation makes the payment to your educational institution.

3. If the employee fails to meet the service commitment years, as defined above, the employee will reimburse MPH for the prorated share of the funds paid to the educational institution, before his or her last day of employment at MPH.
PLEASE BE SURE TO INCLUDE ALL REQUIRED INFORMATION WITH THIS APPLICATION. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
Name

First NameLast Name
Mailing Address

Address

Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
123-456-7891
Name of college, university, vocational institution, or continuing education/training program
Program(s) enrolled in
Grade Point Average (if enrolled)
Date of anticipated graduation or completion

MonthDayYear
Date
Date hired at MPH

MonthDayYear
Date
Job title and department
AMOUNT REQUESTED:
CAREER GOALS. Please write a paragraph explaining your career goals.
ACTIVITIES/AWARDS: Please provide a list of your activities and accomplishments that you believe qualify you for this scholarship.
LEADERSHIP: Please provide information about any leadership roles you have held or specific leadership activities you have been involved in during your employment or within your community.
COMMUNITY SERVICE/ACTIVITIES. List all community involvement activities, with special emphasis on community service.
FINANCIAL NEED. Please write a paragraph explaining how receiving a scholarship award would help you achieve your educational goal. If there are any special circumstances that contribute to your financial concerns, include them in your response.
EDUCATION: Please provide a list of the educational institutes that you have applied to and mention them in order of preference. Note which ones you have received acceptance.
Please upload the required documents here

Cancelof
Attachments Checklist
Eligibility is dependent on the meeting requirements stated above. Please carefully read and understand the list below, then check the boxes for acknowledgment. Finally, sign below to certify your understanding.

I do hereby attest that the information stated in this application is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability and is grounds for immediate dismissal of this application and any further application of grants through Middle Park Medical Foundation.
Signature
Date

MonthDayYear
Signature Date
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Middle Park Medical Foundation Scholarship Guidelines and Application

Scope:

Application Eligibility Requirements:

Scholarship Awards and Service Commitment Guidelines:

PLEASE BE SURE TO INCLUDE ALL REQUIRED INFORMATION WITH THIS APPLICATION. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.