Last Updated August 23, 2008  WMSHP Scholarship - ONLINE APPLICATION FORM Please fill out the form below and click "Submit" when finished. Once submitted, only executive board members of WMSHP will be able to view this information. This information will not be revealed to any third-parties, except for the purpose of verifying the information provided. Please note that the application deadline is March 31, 2008. Name: First Name M.I. Last Name Email Address: Permanent Address:   Residency: I am a NativeCurrent resident of West Michigan.   County of Residence: Allegan Barry Berrien Branch Calhoun Cass Ionia Kalamazoo Kent Lake Mason Mecosta Montcalm Muskegon Newaygo Oceana Osceola Ottawa St. Joseph Van Buren College of Pharmacy: Ferris State University University of Michigan Wayne State University      GPA: Graduation Date: Why did you choose to go into pharmacy school? What are your professional goals upon graduation? What pharmacy organizations do you belong to? Include offices held and years of membership. List other school and community activities that you have been an active participant in during college. © 2003-2008 Western Michigan Society of Health-System Pharmacists. All Rights Reserved. For technical questions, contact webmaster@wmshp.net.