Medical Scholarship Application

Dr. George McQuitty Memorial Fund Application
This scholarship is available to students who graduated from a Cochrane high school after attending for three years. Applicants must be enrolled in graduate studies in the medical field. The award will be made by the Board of the Cochrane and District Community Foundation and the decision is final. The award will be based on academic standing and references. Applications must be postmarked by Jan 31st and submitted to the Cochrane and District Community Foundation of the award year. Applications must be accompanied by a high school record and a copy of the letter of acceptance into graduate studies in the medical field from the post-secondary institution.
Grant Application Guidelines

The Dr. George McQuitty Memorial Fund (managed by the Cochrane Foundation) is for:

 • Purchase of medical equipment or medical services for clinics, hospitals, nursing homes, universities, paramedic units and similar establishments
 • Scholarships to students enrolled in any post-graduate medical field (refer to Medical Scholarship Application form); or
 • Augment the medical facilities in Cochrane and the surrounding district



Please be advised that upon approval of this application your signature below indicates your agreement to comply with the following:

Your financial need continues to exist and other funding has not been pledged or received.
Funds received will be used only for the purpose(s) indicated in this application.
Grant funds will be expended within one year of the date they are received. . Funds not expended within one year shall be returned promptly to the Foundation.
 Within one month of fund expenditure, such expenditure will be reported to The Cochrane Foundation together with supporting documentation such as photographs, copies of receipts, etc.

All applications are reviewed by the Board of the Cochrane and District Community Foundation and grant awards are determined at the discretion of the Board. In review of the applications, the Foundation may request additional information.
Max file size is 33 MB.
Please include: name, full address, phone #, e-mail address
name, full address, phone #, e-mail address
name, full address, phone #, e-mail address
Max file size is 33 MB. Maximum file size 33MB
Max file size is 33 MB. Max file size is MB
We have read, understood and agree to the requirements of The Cochrane and District Community Foundation described above.
Submit-Date
Submit by Jan 31st