Dr. Gregory DeSimone Memorial Scholarship Fund

Administered by: The Friends of Greg DeSimone

The Dr. Gregory DeSimone Scholarship, established in 2014, honors the memory of the longtime medical director of the Emergency Department at Jennersville Regional Hospital in West Grove, Pa. During his 22-year tenure, Dr. DeSimone saved countless lives and cared for many living in the community. In addition to his expertise in emergency medicine, he was known for his smile, his kindness and, most of all, his willingness to listen carefully to all who sought his care. Dr. DeSimone also served for many years as Medical Director for Southern Chester County EMS-MEDIC 94 and as a mentor for students enrolled in physician assistant programs at Arcadia and Drexel University. There was hardly a time when there wasn’t a student learning firsthand about the pressures and complexities of emergency medical care under his direction. The sole purpose of this fund is to encourage and assist students who have been accepted into a graduate level Physician Assistant (PA) program of study at a college or university. Grants will be made in the form of outright scholarships based on the decisions of a selection committee. The individual award is $3,500 per year per student and are made payable ONLY to the institution. CRITERIA_______________________________________________________________________

•   Successful graduation* from a college or university with a bachelor’s degree •   Acceptance to a graduate level physician assistant training program at a college or university •   Record of academic excellence (minimum 3.0 GPA)

*Or, anticipated graduation following completion of current term. TIMELINE_______________________________________________________________________

•   Application deadline: March 15, 2018 (Postmarked no later than) •   Selection of Recipient: April 15 •   Notification of Recipient: April 20

It is the Committee’s intent to present the scholarship to the recipient(s) in person at a Jennersville Hospital on a date to be determined in May of each year.

 JUDGING CRITERIA________________________________________________________________ Applicants will be judging on the following: 1. Academic Record (the most important criterion) – full OFFICIAL transcripts 2. Motivation – demonstrate commitment to a course of study in the health sciences 3. Other Skills – activities that show aptitude toward chosen vocation 4. Application – completeness, neatness, following of directions All decisions made by the Committee are final. SUBMISSION OF APPLICATION_____________________________________________________ Send applications to:: DR GREGORY DESIMONE SCHOLARSHIP FUND c/o Southern Chester County EMS P.O. Box 8012 West Grove, PA 19390 Additional copies can be obtained from: sccems.org/content/race Questions may be directed to:

Bob Hotchkiss, CEO, SCCEMS 1015 West Baltimore Pike, West Grove, PA 19390 EMAIL: rhotchkiss@sccems.org PHONE: 610.910.3180

 

INSTRUCTIONS FOR SCHOLARSHIP APPLICATION 1. APPLICATION The Dr. Gregory DeSimone Scholarship Application must be completed in full, signed by the applicant and submitted on time in accordance with these instructions. It must be clearly legible.

2. EXHIBITS Exhibits should be neat, concise, chronologically arranged and in proper order (see #3 below). Letter(s) of endorsement and other letters should be removed from any envelope and submitted with the application. Letters must be originals on one side of a single sheet of 8.5 by 11 inch paper and must be signed by the author. Exhibits needed in addition to the official application are:

A.   A statement by the applicant of no more than 250 words summarizing his or her academic accomplishments, educational objectives, and a description of his or her commitment to a career as a physician assistant.

B. Two brief letters of endorsement, each from a responsible person not related to the applicant

who has had the opportunity personally to observe the applicant and who can give an objective opinion of the character, initiatives, disposition and general worthiness of the applicant. These should also speak to the applicant’s suitability for a health care career and should address this scholarship application.

C. Documentation of academic record (including college transcripts and cumulative grade point

average, any appropriate national test scores.) D. Letter(s) of acceptance or letter verifying current enrollment in a physician assistant training

program.

3. ORDER OF EXHIBITS

A.   Application B. Summary statement by applicant C. Two endorsement letters specific to the Dr. Gregory DeSimone Scholarship D. Documentation of school work (Official transcript of college Academic Record.)

NOTE: Unofficial transcripts can result in disqualification. E. Letter of acceptance or letter of verifying current enrollment in a Physician Assistant

training program.

 

DR. GREG DESIMONE SCHOLARSHIP APPLICATION

Please read and follow the instructions that accompany this application. Only complete applications will be considered. Deadline: Postmarked no later than March 15, 2018. PERSONAL INFORMATION_________________________________________________________ Name:________________________________________________Date of Birth: _____________ Address:______________________________________________Phone: __________________ City:______________________________________State:____________________ Zip:________ EDUCATION_______________________________________________________________________ High School Attended: _______________________________________Year Graduated: ______ College/University Attended:___________________________________Year Graduated:______ Address:__________________________________________ City:_____________ State:_______ Degree obtained:_________________________________________________________________ List all graduate level Physician Assistant Program that you’ve been accepted, indicating which one you’ve chosen to attend. College/University:_______________________________________________________________ Address:__________________________________________ City:_____________ State:_______ First semester you’ll attend:____________________________________ College/University:_______________________________________________________________ Address:__________________________________________ City:_____________ State:_______ First semester you’ll attend:____________________________________ College/University:_______________________________________________________________ Address:__________________________________________ City:_____________ State:_______ First semester you’ll attend:____________________________________

 Application Page 2: College/University:_______________________________________________________________ Address:__________________________________________ City:_____________ State:_______ First semester you’ll attend:____________________________________ EMPLOYMENT_____________________________________________________________________ Are you currently employed? YES NO If yes, list employer:_________________________________________________________ Position:__________________________________________ Start Date:_____________________ Supervisor:________________________________________ Phone:________________________ List any previously held positions related to healthcare: Position:___________________________________________ When employed:_______________ Employer:_______________________________________________________________________ Supervisor:________________________________________ Phone:________________________ Position:___________________________________________ When employed:_______________ Employer:_______________________________________________________________________ Supervisor:________________________________________ Phone:________________________ Position:___________________________________________ When employed:_______________ Employer:_______________________________________________________________________ Supervisor:________________________________________ Phone:________________________

 Application: Page 3 List any volunteer service, including organization, position and length of service and contact person and phone number, which has impacted your decision to pursue a healthcare career and/or become a physician assistant: List both school and non-school groups to which you belong (or belonged). Include any leadership positions held, honors or awards or any other information you feel is important.

 Application: Page 4 Explain how your work experience impacted your career choice: Please sign your name below to attest to the accuracy of the information provided in this application and on the accompanying materials. By signing you also authorize the Dr. Gregory DeSimone Scholarship Selection Committee to contact any institutional or personal references listed in the application materials, if needed. You also acknowledge scholarship recipients will be announced publicly, including, but not limited to local Chester County, PA newspapers and our website. Applicant’s Signature: __________________________________________________________ Date: _______________________________________________________________________ Send to:

DR. GREGORY DESIMONE SCHOLARSHIP c/o Southern Chester County EMS P.O. Box 8012 West Grove, PA 19390

* Note that this application becomes the property of Southern Chester County EMS and will be destroyed within 90 days of award dispersal.