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Watson Caring Science Institute Scholarship Application Name* First Last Credentials*Education*Place of Employment*Position & Title*Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* Enter Email Confirm Email Phone*Knowledge & Experience with Caring Science*Scholarship Fund Applying For*Which Scholarship Fund are you applying for? You may only apply for 1 per year.The John Matthew Kertland V ScholarshipThe Watson Caring Science ScholarshipCCEP Program*Please select the program you wish to attend.April Enrollment (February 1st Deadline)October Enrollment (August 1st Deadline)Intended Purpose of Scholarship*Please indicate which WSCI sponsored or endorsed program, conference or event you wish to attend.Amount Requested*($250 up to $1,000 USD)Financial Need*How will this scholarship help you?Expected Outcomes from Use of These Funds*Anticipated Contribution to Caring Science*Additional InformationAnything else you would like to tell us? Resume*Please attach resume.RecommendationRecommender's Name* First Last Recommender's Organization*Recommender's Email* Letter of Recommendation*Please upload a letter of reference from a Caring Science scholar or your faculty member/advisor/clinical colleague. Drop files here or Terms & Payment InformationConsent*Terms and Conditions The Watson Caring Science Institute holds and administers certain funds that provide scholarship grants to individuals, or groups of individuals to enable the recipients to support an educational experience in the field of Caring Science at WCSI or other organizations approved by the Scholarship Members. Grants made from such Funds shall be referred to as “The John Matthew Kertland V Scholarship” or “The Watson Caring Science Scholarship.” The Board of Directors of Watson Caring Science Institute appoints all of the members of the WCSI Scholarship Committee. Neither donors nor the parties related to the donor control the scholarship committee directly or indirectly, All scholarships are awarded on an objective and nondiscriminatory basis using a procedure that has been approved in advance by the Board of Directors of Watson Caring Science Institute and that has been designed to ensure that all such grants meet the requirements of paragraphs (1), (2), or (3) of section 4945(g) of the Tax Code. Applicants who are not selected may not reapply for the same project. WCSI shall retain the following records in connection with all Watson Caring Science Scholarships: all information obtained by the Institute to evaluate the qualifications of potential grantees the identification of grantees, the purpose and amount of each grant, and any additional information WCSI obtains in complying with its’ grant’s administration procedures. Information pertaining to unsuccessful applicants for Scholarships shall be kept in confidence, along with information on successful applicants. Records pertaining to any grant made pursuant to this policy shall be kept for no less than three years after the filing of WCSI annual tax return for the period in which the last installment of such grant was paid. This document will be reviewed annually. I have read the Terms & Conditions statement.EmailThis field is for validation purposes and should be left unchanged.