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 any applications filed after the application deadline will not be considered.
* Required
Email address
*
Your email
First Name
*
Your answer
Middle Initial
*
Your answer
Last Name
*
Your answer
Current Address
*
Your answer
County of Residence
*
Choose
Allegan
Barry
Berrien
Branch
Calhoun
Cass
Ionia
Kalamazoo
Kent
Lake
Mason
Mecosta
Montcalm
Muskegon
Newaygo
Oceana
Osceola
Ottawa
St. Joseph
Van Buren
Type of Residence
*
Native Resident
Current Resident
College of Pharmacy
*
Choose
Ferris State University
University of Michigan
Wayne State University
GPA
*
Your answer
Graduation Date
*
MM
/
DD
/
YYYY
Why did you choose to attend pharmacy school?
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Your answer
What are your professional goals upon graduation?
*
Your answer
Which pharmacy organizations do you belong to? (include offices held and years of membership)
*
Your answer
List other school and community activities that you have been an active participant in during college.
*
Your answer
Send me a copy of my responses.
Submit
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