RETURN THIS APPLICATION TO THE OFFICE OF FINANCIAL ASSISTANCE, UNIVERSITY OF THE INCARNATE WORD,
4301 Broadway CPO 308, San Antonio TX 78209, or email at finaid@uiwtx.edu
PAGE 1
University o
f the Incarnate Word
2020-2021 Baptist Health Foundation Scholarship Application Packet
University of the Incarnate Word is pleased to announce a partnership with the Baptist Health Foundation
of San Antonio to provide scholarships for students enrolled in health professional fields. This is a one-time
scholarship for Fall 2020 and award amounts may vary. Previous Baptist Health Foundation Scholarship
recipients may reapply by submitting another scholarship application, but renewal is not guaranteed.
Applications may be submitted to the Office of Financial Assistance via e-mail (finaid@uiwtx.edu) or mail
(4301 Broadway CPO 308, San Antonio, TX 78209) by 5:00 p.m. on Friday, September 18, 2020.
Students must meet the following criteria to apply:
Must be a U.S. Citizen
Must be enrolled full-time in one of the approved programs (Doctor of Physical Therapy, Doctor of
Pharmacy, Traditional BSN, Master of Science in Nursing, Doctor of Nursing Practice, Master of
Nutrition, Doctor of Optometry, Nuclear Medicine and Doctor of Osteopathic Medicine.
Must meet GPA requirements for good academic standing.
Must have a 2020-2021 FAFSA on file with the Office of Financial Assistance and demonstrate
financial need. (Financial aid file must be complete before eligibility can be determined).
Must have a permanent residence within the Baptist Health Foundation’s service area (Approved
counties: Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina and Wilson).
Must certify intent, following graduation, is to remain and seek employment in one of the eight counties
serviced by the Baptist Health Foundation. (See approved counties listed above).
A complete application includes:
__ Application (pages 2-3 of packet)
__ Narrative Attachment (see page 3, part II)
__ Resume Attachment (see page 3, part III)
__ Release of Information Form (page 4 of packet)
__ Thank You Letter Attachment (see page 5)
Must be attached to the application (Do not mail your letter directly to the foundation).
Letters should be professionally TYPED on Thank You Letter Template (see page 5)
Applications will be reviewed by a UIW committee and all applicants will be notified of the committee’s
decisions in mid-October 2020. If you are selected for this scholarship, funding will be applied towards your
Fall 2020 charges and cannot be awarded for any other semesters/terms. Loans and/or other aid may be adjusted
to fit the scholarship award within your financial aid budget.
RETURN THIS APPLICATION TO THE OFFICE OF FINANCIAL ASSISTANCE, UNIVERSITY OF THE INCARNATE WORD,
4301 Broadway CPO 308, San Antonio TX 78209, or email at finaid@uiwtx.edu
PAGE 2
University of the Incarnate Word
2020-2021 Baptist Health Foundation Scholarship Application
Name: ____________________________________________________________________________________________________
Last First MI
UIW Student
ID: ___________________________________________ Social Security Number: _________________________
Email Address: ____________________________________________ Telephone Number: _____________________________
Permanent Address: _________________________________________________________________________________________
Street City State Zip
If your permanent residence is not in one of the eight counties listed below, then your application will not be considered.
Your permanent address must match the permanent address listed on BannerWeb
High School Name: ___________________________________________ High School District: __________________________
Are you a past
Baptist Health Foundation Scholarship recipient? YES NO
Are you a U.S. Citizen? YES NO
Have you completed a 2020-2021 FAFSA? YES NO
Permanent address
located in:
Kendall County
Wilson County
Bexar County
Comal County
Atascosa County
Bandera County
Guadalupe County
Medina County
Indicate your
cur
rent program:
Doctor of Nursing Practice
MS Nursing
Traditional BSN*
*must be accepted to UIW Nursing
Program and enrolled in NURS courses
Doctor of Optometry
MS Nutrition
Nuclear Medicine Technology
Doctor of Physical Therapy
Doctor of Pharmacy
Doctor of Osteopathic Medicine
FOR OFFICE USE ONLY
FINANCIAL AID:
COA: _________________ EFC: _________________ Need:
_________________ GPA: _________________
SCHOLARSHI
P COMMITTEE:
Recommended for Funds _____ YES _____ NO Recommended Award $__________________
RETURN THIS APPLICATION TO THE OFFICE OF FINANCIAL ASSISTANCE, UNIVERSITY OF THE INCARNATE WORD,
4301 Broadway CPO 308, San Antonio TX 78209, or email at finaid@uiwtx.edu
PAGE 3
PART I Reason for Request
Explain your financial reasons for requesting a scholarship from the Baptist Health Foundation of San Antonio. (Baptist Health
Foundation of San Antonio will follow the financial aid qualification guidelines established by the scholarship recipient’s institution).
PLEASE TYPE your response below:
PART II Attach a copy of your most current resume and a typed student narrative:
Current Resume: Attach a copy of your most current resume outlining personal, academic, and professional accomplishments.
Student Narrative: Attach your typed response to the applicable prompt:
New Baptist Health Scholarship Applicants: Why have you chosen to pursue a career in healthcare? Also include examples
of your volunteer activities or other activities which help improve our community.
Past Baptist Health Scholarship Recipients Re-applying: What impact did this scholarship have on your studies? Were
there any changes in your studies that gave you a new perspective on your future healthcare career?
Part III: Initial next to each statement as acknowledgment and sign below.
__ I agree to release my Free Application for Federal Student Aid (FAFSA) information for this scholarship.
__ I certify that my intent, after graduation, is to remain and seek employment in one of the Baptist Health Foundation counties.
__ I understand that falsification of any records or documents submitted to obtain this scholarship will result in my having to repay
the amount granted in full to the Baptist Health Foundation of San Antonio.
__ I certify that all the information I have provided on this application is correct.
Printed Name: __________________________________________________________ Student ID: _______________________
Applicant's Signature: Date:
RETURN THIS APPLICATION TO THE OFFICE OF FINANCIAL ASSISTANCE, UNIVERSITY OF THE INCARNATE WORD,
4301 Broadway CPO 308, San Antonio TX 78209, or email at finaid@uiwtx.edu
PAGE 4
University of the Incarnate Word
2020-2021 Scholarship Release of Information Form
The University of the Incarnate Word makes every effort to protect the privacy of your educational records.
Scholarship donors very much appreciate knowing the students who directly benefit from their scholarship
funds. By allowing the University to release your name, directory, and academic information, you are helping
us to connect donors with our students. This simple act helps to ensure that more UIW students will continue to
benefit from these generous gifts.
By signing below you indicate:
___ you authorize UIW to release your name, directory and academic information to scholarship donors in
conjunction with any UIW scholarships you may receive
OR
___ you do not authorize UIW to release your name, directory and academic information to scholarship
donors in conjunction with any UIW scholarships you may receive.
______________________________________________ _______________________
Signature Date
______________________________________________ _______________________
Printed Name UIW Student ID or SSN
RETURN THIS APPLICATION TO THE OFFICE OF FINANCIAL ASSISTANCE, UNIVERSITY OF THE INCARNATE WORD,
4301 Broadway CPO 308, San Antonio TX 78209, or email at finaid@uiwtx.edu
PAGE 5
Scholarship Committee
Baptist Health Foundation of San Antonio
750 East Mulberry Avenue, Suite 325
San Antonio, Texas 78212-3107
Sincerely,
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