URA Scholarship Application Form

Scholarship Application

Please fill out all requested information.
Applicants Name*

First NameLast Name
Email*
example@example.com
Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
URA Member Referral*
Please list the contact name or store name.
High School Education
GPA Score*
Graduation Date*
ACT or SAT Score(s)*
Post Secondary Education

Chosen path of Education must be related to healthcare and/or business management.
Course Schedule or Transcript*

Browse Files

Cancelof
Jr. College/University*
Student ID #*
Field of Study*
Bursars Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Enrollment (Month/Year)*to (Month/Year)*

Essay Question/Personal Statement

This information will be used for judging the application. Essay must be 250 - 300 words.
Why have you chosen this path of study and how do you plan to give back to the healthcare profession?*

0/1000
First Letter of Recommendation

Browse Files
If you do not have with you, you can have them email it to URA@UniformRetailers.org Cancelof
Second Letter of Recommendation

Browse Files
If you do not have with you, you can have them email it to URA@UniformRetailers.org Cancelof

Signature, Check List and Approval of Information
Traditional Student Scholarship
URA Scholarships are awarded for the purpose of higher education in the field of healthcare and/or medical business management. Eligible applicants include URA member in good standing, their children, member employees, their children, or any customer or student recommended by a URA member. The association may award up to $2,000 annually.

David Nejberger Scholarship
In honor of David, the URA has created the David Nejberger Scholarship. Recipients must be pursuing medical studies with emphasis on cardiac medicine. Retailers and vendors have overwhelmingly inquired about donating to the scholarship; therefore, the annual award amount will be determined based on the seed money contributed.

David (1961-2016) leaves a legacy of warmth, kindness and generosity of spirit. He helped so many in the uniform industry establish their business and guided them in continuous growth while building unconditional friendships. The “Nej” and his sense of fashion, was relied upon by many of his manufacturers. He was a dedicated professional and true gentleman who loved our industry and will be deeply missed.
I am applying for (Please check one)*

Traditional Student ScholarshipDavid Nejberger Scholarship
I have completed the application to the best of my abilities and included the required documentation.
- Course Schedule or Transcript
- Two (2) Letters of Recommendation
- Essay Question/Personal Statement
Applicant's Signature*

Clear
Date Signed by Applicant*

MonthDayYear
Date
Should be Empty:

Scholarship Application

High School Education

Post Secondary Education

Essay Question/Personal Statement

Signature, Check List and Approval of Information