About the Scholarships: General Information
About the Scholarships: General Information
Scholarships in the amount of two-thousand dollars ($2,000) are awarded to two (2) qualifying seniors from
any of designated accredited colleges or universities approved by the Foundation Board.
Scholarships are awarded only to registered students who are entering their final semester prior to
Scholarship awards are only available to students who are enrolled, full time in a veterinary medicine
program at one of the designated accredited colleges or universities approved by the Foundation Board.
Scholarships are awarded on semester basis and paid directly to the college or university upon receipt of
required enrollment and registrar information.
Scholarship recipients will be selected and notified within two weeks of the application deadline. Deadline
application dates will be posted annually. Applications received after the deadline date cannot be accepted.
Applicants will be asked to participate in a brief interview with the Foundation Selection Committee in
person or by telephone.
All applicants must meet the following eligibility requirements:
Must be a final semester senior graduating within the school year in which the scholarship is awarded
Must be able to provide and disclose evidence of financial need
Must be able to provide evidence of past academic achievement
Must be enrolled in studies of veterinarian medicine at a college or university approved by the Foundation
Must provide evidence of good character and agree to reference checks by the Foundation Board
Must submit a complete application packet. Information required but not submitted voids the application
Use of Written Testimony, Photographs and Name
As a condition of the receipt of this scholarship I, the undersigned, hereby agree to provide, upon request, written testimony to the benefit of this scholarship in my pursuit of a degree in the field of animal science or veterinary medicine. This testimony may be included in publicity that promotes the Carole P. Bizzack Memorial Scholarship Foundation and solicits contributions to this organization. If selected, I agree that my name and photograph may be used and appear in publications, including but not limited to school announcements, newspapers, television and radio, and grant my permission for the use of my name and photograph for those purposes. I hereby release and agree to hold harmless the Carole P. Bizzack Memorial Scholarship Foundation and administrators from any liability from such use and waive the right to inspect and approve the finished product or the written copy that may be used in connection with the Foundation. Applicant’s Signature
Name of Applicant Typed or Printed
APPLICATION DATE OF APPLICATION: ____________ PERSONAL INFORMATION FULL NAME: ________________________________________________________________________________ ADDRESS: _______________________________________________ City: _____________________________ STATE: ________________________ Zip Code: __________________ TELEPHONE: __________________________ CELL OR OTHER PHONE: _________________________ DATE OF BIRTH: _______________________________ PLACE OF BIRTH: _______________________ EMPLOYMENT HISTORY: ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ _____________________________________________________________________________________________
__________________________________________________________________________________________ NAME, ADDRESS and TELPHONE OF COLLEGE or UNIVERSITY IN WHICH YOU ARE CURRENTLY ENROLLED: _____________________________________________________________________________________________
_____________________________________________________________________________________________ NAME, ADDRESS, TELEPHONE OF REGISTRAR’S OFFICE: _______________________________________________ ____________________________________________________________________________________________ ANTICIPATED DATE OF GRADUATION: _____________________________Degree: _________________________ LENGTH OF ENROLLEMENT AT THE UNIVERSITY FROM WHICH YOU ANTICIPATE GRADUATION: _______________ SEMESTER TUITION COSTS OF PROGRAM IN WHICH YOU ARE ENROLLED: _____________________________________________________________________________________ _______ WHAT DEGREES DO YOU CURRENTLY HOLD (Note university at which degree(s) were earned and year: _____________________________________________________________________________________________
I am prepared to document all information required on this application and grant permission to the Carole
P. Bizzack Memorial Scholarship Foundation to confirm all information submitted.
Applicant (typed or printed name) _________________________________________
Applicant’s Signature: ___________________________________________________
All Below Items Must Be Included in an Application Request
Completed Application Form
Typed or printed narrative - single spaced pages explaining:
1. Applicant’s qualifications
2. Applicant’s intended career path following graduation to include internships,
geographic area of practice, specialty field
3. Evidence/documentation of financial need
Three sealed letters of recommendation supporting applicant’s character, achievements, and
Official college/university transcript
Signed Agreement Form
Signed Certification Form