WMSHP Scholarship Application

Please fill out the form below and click "Submit" when finished. Once submitted, only executive board members of WMSHP will be able to view this information. This information will not be revealed to any third-parties, except for the purpose of verifying the information provided.

Please note that the application deadline is March 31, 2012.

Name:
First Name M.I. Last Name

Email Address:

Permanent Address:
 

Residency: I am a resident of West Michigan.
  County of Residence:

College of Pharmacy:      GPA:
Graduation Date:

Why did you choose to go into pharmacy school?

What are your professional goals upon graduation?

What pharmacy organizations do you belong to?
Include offices held and years of membership.

List other school and community activities that you have
been an active participant in during college.


Last Update: January 24, 2012