Dr. Peter Aliferis Memorial Education Scholarship

MyMichigan Health Foundation
                                                                                 1501 W. Chisholm Street
                                                                                 Alpena, Michigan 49707
                                                                                 Phone (989) 356-7738
                                                                                 www.mymichigan.org/alpena

Dr. Peter Aliferis Memorial Education Scholarship
The laboratory staff at MyMichigan Medical Center Alpena established this fund as a tribute to Dr. Peter
Aliferis, a pathologist for 37 years with the Medical Center. Dr. Aliferis passed away on March 13, 2002,
and the scholarship fund is in memory of his many contributions to the hospital and community. The
fund will help graduating residents pursue a career in the clinical laboratory science field or medical school.
Applicant must be a resident of Alpena, Alcona, Montmorency or Presque Isle counties.

Tuition Award:
    $1,000 Scholarship
    Application due June 1 and the scholarship will be awarded on June 28, 2022
    The scholarship will be paid directly to the school

Eligibility Requirements:
    Must be a resident of Alpena, Alcona, Montmorency or Presque Isle County
    GPA must be 3.0 or higher
    You must be a second-year student enrolled in a clinical laboratory curriculum of study at an
     accredited school or enrolled in medical school
    You must demonstrate financial need
    Applicant must include a copy of their Student Aid Report and a signed release form to allow the
     financial aid office to release need-based information
    You must be enrolled in a Michigan school in a traditional course of study (distance learning
     programs are not eligible)
    A letter of recommendation from the program director which indicates GPA
    Letters of recommendations (other than your program director) from three people who will address
     your strengths, skills and any other information that should be taken into consideration
    Submit current transcript
    Application must be submitted by June 1 to:
           MyMichigan Medical Center Alpena
           Attn: Fund Development
           1501 W. Chisholm Street
           Alpena, Michigan 49707

MyMichigan Health Foundation
                                                                                 1501 W. Chisholm Street
                                                                                 Alpena, Michigan 49707
                                                                                 Phone (989) 356-7738
                                                                                 www.mymichigan.org/alpena

William E. & Mary C. DesOrmeau Education Scholarship
MyMichigan Medical Center Alpena is like every other hospital when it comes to the current shortage of
nursing personnel. Former Chief Nursing Officer Mary DesOrmeau and her husband, Bill, established
this $1,000 scholarship in direct response to the nursing shortage. This scholarship assists full-time second
level students that are enrolled in a nursing program. Applicant must be a resident of Alpena, Alcona,
Montmorency or Presque Isle counties.

Tuition Award:
    $1,000 Scholarship
    Application due June 1 and the scholarship will be awarded on June 28, 2022
    The scholarship will be paid directly to the school

Eligibility Requirements:
    Must be a resident of Alpena, Alcona, Montmorency or Presque Isle County
    GPA must be 3.0 or higher
    Your program of study must be Nursing
    You must be enrolled as a full-time second year student in your core curriculum of study
    You must demonstrate financial need
    Applicant must include a copy of their Student Aid Report and a signed release form to allow the
     financial aid office to release need-based information
    You must be enrolled in a Michigan school in a traditional course of study (distance learning
     programs are not eligible)
    You must have demonstrated leadership qualities in school or community activities
    A letter of recommendation from the program director which indicates GPA
    Letters of recommendations (other than your program director) from three people who will address
     your strengths, skills and any other information that should be taken into consideration
    Submit current transcript
    Upon graduation, applicant willing to accept employment, if offered, at MyMichigan Medical Center
     Alpena
    Application must be submitted by June 1 to:

              MyMichigan Medical Center Alpena
              Attn: Fund Development
              1501 W. Chisholm Street
              Alpena, Michigan 49707

MyMichigan Health Foundation
                                                                             1501 W. Chisholm Street
                                                                             Alpena, Michigan 49707
                                                                             Phone (989) 356-7738
                                                                             www.mymichigan.org/alpena

Gerald L. Kramer Education Scholarship
This $500 scholarship has been made available by June Kramer in memory of her husband and community
volunteer Gerald L. Kramer. Gerald spent many hours at Tendercare and MyMichigan Medical Center
Alpena brightening the lives of many with his infectious smile and laugh. Gerald’s philosophy was always to
help others and in keeping with that philosophy, June is offering this $500 scholarship. Scholarship
applicants must be enrolled in the field of Nursing or direct patient care. Applicants must be a resident of
Alpena, Alcona, Montmorency or Presque Isle counties.

Tuition Award:
    $500 Scholarship
    Application due June 1 and the scholarship will be awarded on June 28, 2022
    The scholarship will be paid directly to the school

Eligibility Requirements:
    Must be a resident of Alpena, Alcona, Montmorency or Presque Isle County
    Your program of study must be patient care or nursing
    You must demonstrate financial need
    You must be enrolled in a Michigan school in a traditional course of study (distance learning
     programs are not eligible)
    You have demonstrated leadership qualities in school or community activities
    A letter of recommendation from the program director which indicates GPA or your current
     employer
    Letters of recommendations (other than your program director or employer) from three people who
     will address your strengths, skills and any other information that should be taken into consideration
    If currently enrolled, submit current transcript
    Upon program completion, applicant willing to accept employment, if offered, at MyMichigan
     Medical Center Alpena
    Application must be submitted by June 1 to:
              MyMichigan Medical Center Alpena
              Attn: Fund Development
              1501 W. Chisholm Street
              Alpena, Michigan 49707

MyMichigan Health Foundation
                                                                               1501 W. Chisholm Street
                                                                               Alpena, Michigan 49707
                                                                               Phone (989) 356-7738
                                                                               www.mymichigan.org/alpena

Hope Romel Memorial Education Scholarship
Hope Romel was born with Osteogenesis Imperfecta (OI), more commonly known as “Brittle Bone
Disease”. Hope’s method of transportation was her wheelchair. She received physical therapy and
aquatic therapy to assist with her mobility goals, activities of daily living, equipment management and
pain management. She was determined, brave, motivated, kind, intelligent and appropriately tenacious.
She did not allow her OI to define her and she was able to achieve many of her life goals including 2
college degrees. She had her own business and lived independently. Hope left this world on
September 2, 2020 at 29 years of age. Our “Hope” is that this scholarship will help someone achieve
their goal to become a licensed therapist to help others, as therapy was able to help Hope.

Tuition Award:
    $500 Scholarship
    Application due June 1 and the scholarship will be awarded on June 28, 2022
    The scholarship will be paid directly to the school

Eligibility Requirements:
    Must be a resident of Alpena, Alcona, Montmorency or Presque Isle County
    GPA must be 3.0 or higher
    Your program of study must be Physical Therapy, Occupational Therapy, or Physical Therapy
     Assistant (PTA)
    You must be officially accepted into the professional physical therapy or PTA program
    You must be enrolled in a Michigan school in a traditional course of study (distance learning
     programs are not eligible)
    You must provide your own letter indicating how you have demonstrated leadership qualities in
     school or community activities and why you are pursuing a career in therapy
    You must provide a copy of your program acceptance letter from your school
    Letters of recommendations (other than your program director or employer) from three people who
     will address your strengths, skills and any other information that should be taken into consideration
    Submit current transcript indicating your cumulative GPA
    Application must be submitted by June 1 to:
             MyMichigan Medical Center Alpena
             Attn: Fund Development
             1501 W. Chisholm St.
             Alpena, MI 49707

MyMichigan Health Foundation
                                                                    1501 W. Chisholm Street
                                                                    Alpena, Michigan 49707
                                                                    Phone (989) 356-7738
                                                                    www.mymichigan.org/alpena

                                 Student Checklist

Applying for MyMichigan Medical Center Alpena's Development Council
Scholarships, you must submit the following:

   A copy of my Student Aid Report

   A signed release form to allow the financial aid office to release need-based information
   (form below)

   A letter of recommendation from your program director indicating your GPA or from
   your current employer

   Letters of recommendations (other than your program director or employer) from three
   people who will address your strengths, skills and any other information thatshould
   be taken into consideration

   A current transcript

   A completed application (form below)

MyMichigan Health Foundation
                                                                     1501 W. Chisholm Street
                                                                     Alpena, Michigan 49707
                                                                     Phone (989) 356-7738
                                                                     www.mymichigan.org/alpena

            Authorization to Access Financial Information

I authorize MyMichigan Medical Center Alpena access to my current financial information
at the college I am attending. This information will be used only on a need-to-know basis
and will be requested only if needed. Upon the award of this scholarship, this information
will be permanently destroyed.

I understand this release fulfills a portion of my application to the MyMichigan Medical
Center Alpena's Development Council Scholarships.

Name (Please Print)

Signature                                                     Date

MyMichigan Health Foundation
                                                                               1501 W. Chisholm Street
                                                                               Alpena, Michigan 49707
                                                                               Phone (989) 356-7738
                                                                               www.mymichigan.org/alpena

                       Scholarship Applicant Information

Name of Scholarship
                                      (Aliferis, DesOrmeau, Kramer or Romel)

Name
       Last                              First                        Middle

Address
          Street                                        City                        State        Zip

Today’s Date

Date of Birth                                           Age

Home Phone                                              Cell Phone

Parent’s or Spouse’s Name

Address
          Street                                        City                        State        Zip

High School Graduation Date

Name of College Currently Attending

Program of Study

Number of Credits Earned                                Current GPA

Are you reimbursed by your employer for tuition?

MyMichigan Health Foundation
                                                                           1501 W. Chisholm Street
                                                                           Alpena, Michigan 49707
                                                                           Phone (989) 356-7738
                                                                           www.mymichigan.org/alpena

Are there any unusual family or personal circumstance you feel warrant the Screening Committee’s
attention in considering this scholarship?

Work experience during high school or college:

Awards or honors you have received during high school or college:

Why are you interested in your field of study?

What are your plans after graduation?

MyMichigan Health Foundation
                                                                                1501 W. Chisholm Street
                                                                                Alpena, Michigan 49707
                                                                                Phone (989) 356-7738
                                                                                www.mymichigan.org/alpena

Community activities in which you’ve been involved during high school and college:

Please list any scholarships, grants, and/or loans you are seeking or have been awarded. (List source,
amount, and whether it has been granted or is pending).

                                       CERTIFICATION
I/We hereby affirm that the information on this form is true and complete to the best of my/our
knowledge. I/We are aware of the conditions under which this scholarship is awarded and I/we agree to
notify MyMichigan Medical Center Alpena of any change in circumstances or any additional scholarship
aid received.

Student Signature                                                          Date

Parent/Guardian Signature (If student is under18)                          Date

Submit by June 1 to:           MyMichigan Medical Center Alpena
                               c/o Fund Development
                               1501 W. Chisholm Street
                               Alpena, Michigan 49707
                               or ann.diamond@mymichigan.org