ABE HALBREICH MEMORIAL FUND

ABE HALBREICH MEMORIAL FUND
2013-2014 APPLICATION
The Abe Halbreich Scholarship is for students pursuing a career in the Health Sciences.
The scholarship requirements for the student are:
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Must be a Health Science major
Undergraduate full time student
Sophomore, Junior or Senior status
FAFSA (Free Application for Federal Student Aid) must be on file.
A brief essay describing the interest/goals in the Health Sciences and
student’s financial need/circumstances.
Completed Applications, including essays, must be returned by
Friday, February 28, 2014 to:
Jennifer Pollard
Associate Director
Office of Financial Aid
232 Capen Hall
Buffalo, New York 14260
NAME:
__________________________________________
PERSON NUMBER: __________________________________________
UB email Address:
__________________________________________
LOCAL ADDRESS: __________________________________________
___________________________________________
PHONE:
___________________________________________
MAJOR:
___________________________________________
CLASS LEVEL:
___________________________________________
CURRENT QPA:
___________________________________________
AUTHORIZATION
I authorize the Abe Halbreich Scholarship Committee to obtain academic, financial, and
other relevant information pertinent to my eligibility.
________________________________
Signature of Applicant
________________________
Date

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