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The Bernard F. and Melissa Anne Bailey Family Fund
Scholarship Application

*Denotes required field
* Please select an option

Personal Information

* Are you currently employed by or have been previously employed by MidMichigan Health?

Family Information

* Is anyone in your immediate family (mother, father, brother or sister) employed by MidMichigan Health?

Education

* Are you currently attending a college or university or accredited program?

Estimated Final Graduation Date (with highest degree):

* Academic Program?
* Degree Level?

Scholarship Disbursement Process

Scholarship checks will be mailed to the home address listed on this application. It is the responsibility of the student to deliver the check to the school’s financial aid office. If awarded, the check will be made payable to the school listed below:

If changing schools, please let us know as soon as possible

* Do we have your permission to publish your name and area of study for purposes of promoting The Bernard F. and Melissa Anne Bailey Family Fund Scholarship, should you be awarded scholarship money?