Froedtert Memorial Hospital Scholarship Appeal Form
Please complete this form with as much detail as possible. Please note, however, that completion of this form does not guarantee admission or re-admission to the Froedtert Memorial Hospital Scholarship program.
Name
*
First Name
Last Name
Email
*
example@example.com
Which of the following best describes you?
*
I am currently an eligible FMHS scholar and did not meet the continuation requirements.
I applied to be a FMHS scholar and was determined to not be eligible.
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Continuing FMHS Scholar Appeal
Which FMHS criteria are you appealing?
*
Enrollment in an associate-level healthcare pathway program
Being past the petition process for your program
Having not previously earned an associate level degree or higher
Living in the MATC district
Having an institutional GPA of 2.5 or higher
Enrollment in 6 or more credits toward an FMHS-eligible program
Completion of an annual FAFSA
Explain your circumstances and reason for requesting special consideration. If applicable, please indicate why you feel you meet the requirements or how you have experienced an extreme hardship making you unable to fulfill the FMHS requirements
*
Please explain your success plan for future semesters. What will you change to ensure that you are able to meet the criteria if approved to rejoin the scholarship?
*
Please upload any documentation relevant to your appeal.
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of
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FMHS Applicant Appeal
Which FMHS criteria are you appealing?
*
Enrollment in an associate-level healthcare pathway program
Being past the petition process for your program
Having not previously earned an associate level degree or higher
Living in the MATC district
Having an institutional GPA of 2.5 or higher
Enrollment in 6 or more credits toward an FMHS-eligible program
Completion of an annual FAFSA
Please explain your success plan for future semesters. What will you change to ensure that you are able to meet the criteria if approved to rejoin the scholarship?
*
Explain your circumstances and reason for requesting special consideration. If applicable, please indicate why you feel you meet the requirements or how you have experienced an extreme hardship making you unable to fulfill the FMHS requirements
*
Please upload any documentation relevant to your appeal.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Please click submit below to officially complete your appeal form!
Your form is not completed until you've clicked "submit" below!
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