VPhA Foundation Scholarship Application

VPhA Foundation Scholarship Application

Robert G. Wampler Student Scholarship
Thank you for your interest in the Robert G. Wampler Student Scholarship. Please complete all sections of this application. Incomplete applications or applications received after the deadline will not be considered.
Applicant Information
Full Name:
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Academic Information
Virginia School of Pharmacy: Check one of the following
Expected Graduation Date:
Current Academic Status: Check one of the following
Current GPA (optional, if transcript will verify):

Eligibility
Please check all that apply:
Personal Statement
Please include a personal statement (PDF or Word document) of 500 words or fewer describing:
- Your educational and professional goals
- Why you are eligible for this scholarship
- How receiving this scholarship will support your pharmacy education and future career
Personal Statement

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Letter of Recommendation
One letter of recommendation is required.
The recommendation must:
- Be written by a current or former pharmacy supervisor or a VPhA member
- Be sent directly to the scholarship selection committee at foundationinfo@virginiapharmacists.org
Please provide:
Recommender's Name:
Title/Organization:
Email Address:
example@example.com
Relationship to Applicant:

Required Documentation
Please provide the following:
Proof of Enrollment or Admission showing your enrollment or admission to a Virginia School of Pharmacy.
Proof of Admission

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Most Recent Unofficial Transcript
Provide your most recent unofficial college transcript (pre-pharmacy or first year of pharmacy school).
Unofficial Transcript

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Applicant Certification
By checking the box below, I certify that:
Applicant Signature:
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Application Checklist
Before submitting, please confirm you have completed the following:
Submit Application
Should be Empty: