2019 Ilse B. Almanza Scholarship Application - Student, Intern and Educator Scholarship
ASHE offers scholarships for students and educators to attend the 2019 ASHE Annual Conference, July 14 -17 in Baltimore, MD.. The Scholarship is a cash scholarship in the amount of $2,100 from the Ilse B. Almanza Scholarship Fund.
To apply for a scholarship, complete the application below in its entirety.
The deadline for returning this application is May 6, 2019.
Students and educators receiving this scholarship may register for the ASHE Annual Conference using the student rate. Scholarship winners are responsible for all travel expenses and registration cost for the ASHE Annual Conference , as well as any applicable taxes.
Scholarship winners are selected by the ASHE Recognition Committee based on the information provided in the application and essay. You will receive a letter by e-mail letting you know if you are being awarded a scholarship.
Questions regarding this application can be submitted in writing via e-mail to Tim Adams, ASHE Director Leadership Development at firstname.lastname@example.org.
*Funds for the scholarship will be distributed to the individual applying for the application and not the applicant's employer/organization (no exceptions).
*All scholarship recipients will be required to complete a W9 form from the Internal Revenue Service and will be responsible for all taxes associated with the scholarship. A W9 form will be provided as part of the letter/email that is sent to those selected to receive the scholarship. (no exceptions).
*Scholarship recipients who do not attend the 2019 ASHE Annual Conference for any reason, must give a full refund of disbursements to ASHE.
* Scholarships are not transferrable and must be used to attend the 2019 ASHE Annual Conference July 17 -20. 2019 in Baltimore MD. (no exceptions).
Title (Full time students, enter student)
Please include your complete address, including street address, city, state and zip code.
College or University
Check this box if you are an ASHE member, and provide your membership number below.
ASHE Member Number
Students and Educators
Students, complete the following section and complete the signature at the end of the form.
Educators, skip to the Educators section near the end of the form, and complete the signature following the educator section.
Students, compete the following section
If you are an undergraduate student, use the dropdown menu to indicate which year of study you are in.
If you in graduate school, use the dropdown menu to indicate your degree program.
Use the dropdown menu to indicate you student status.
I have graduated
Member of an ASHE Student Chapter
I am a member of an ASHE Student Chapter at my college or university
Student Chapter Name
Officer in an ASHE Student Chapter
I am an officer (president, secretary, treasure, etc.) for an ASHE Student Chapter
Member of a Student Club
I am a member of a university sanctioned club pertaining to the health care physical environment.
Name of the club
Provide the name of the club. If it is associated with or supported by an ASHE state or regional chapter, provide the name of that chapter also.
I am an officer (president, secretary, treasure, etc.) for a student club pertaining to the health are physical environment.
Member of an ASHE State Chapter
I am a member of an ASHE Affiliated State or Regional Chapter
Provide the name of the ASHE State or Regional Chapter
Officer in an ASHE State Chapter
I am an officer in an ASHE Affiliated State or Regional Chapter.
Check below if you have participated in ASHE projects.
List ASHE projects you have participated in
Examples of projects include:
Serving on an ASHE committee or task force
Editorial review for ASHE publications
Participate in an ASHE project under the direction of the
Have you served an internship within the last 12 months, or will you serving an internship within the next 6 months involving health care? Select one from the drop down menu.
I am currently serving an internship
I completed an internship within the last 12 months
I will be serving an internship within the next 6 months
I have not served an internship
Company where you served, are serving, or will serve your internship
Internship Supervisor's Name
What type of work or projects did you do as part of your internship?
List the company and dates of additional internships you have served.
Essay Question (250 words max)
Students, please complete the following essay question in its entirety. The essay is a maximum of 250 words.
Provide a statement describing your interest in the health care physical environment and your career goals.
Please list a person who would be willing to provide a recommendation for you. This could be a professor or instructor, internship supervisor or an employer.
Company or University
Educators, complete the following section.
Check each that apply:
College or University Curriculum
Does the curriculum at your college or university include information specific to the health care physical environment?
Not at this time, but it is our desire to add healthcare include information specific curriculum.
If you answered yes, provide a short description
ASHE Chapter Member
Provide the name of the ASHE State or Regional Chapter
Educators, please complete the following essay question in its entirety. The essay is a maximum of 250 words.
How does your program prepare students for careers involving the physical environment of health care?
I hearby acknowledge that I have read this application, including the disclaimers. I certify that all statements and responses I have made in the application, are true, accurate and authentic to the best of my knowledge.
Sign your application by typing your full name in the box below.
Send me a copy of my responses
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