About Annie R. Neasman, RN. MS.

Transcription

1 About Annie R. Neasman, RN, MS. President & CEO Jessie Trice Community Health Center, Inc The Annie R. Neasman Scholarship Program is administered by Jessie Trice Community Health Foundation, Inc., ( JTCHF ), a 501 c 3 not-for-profit organization, established in 2009 to honor its current President and CEO. A leader who encourages student learning, and promotes volunteer service. About Annie R. Neasman, RN. MS. Celebrating more than 40 years in the health care service industry, Annie R. Neasman, RN. MS., is the President and Chief Executive Officer of the Jessie Trice Community Health Center, Inc., ( JTCHC ) and President of the Jessie Trice Community Health Foundation, Inc.,( JTCHF ) - Miami, Florida and former President of National Black Nurses Association (2007) - Miami Chapter. Under her leadership, Jessie Trice Community Health Center continues to set trends and standards for primary care services in South Florida. Ms. Neasman is a graduate of Florida A&M University School of Nursing, the former Deputy Secretary of Health and former Chief Public Health Nurse of the Florida Department of Health, Tallahassee, Florida. She

2 also served as the Executive Administrator of the Miami-Dade County Health Department. In addition to her professional experience, Ms. Neasman is well known on the state and local levels for her commitment, passion and advocacy to help improve healthcare outcomes of underserved populations. She is a member of Mount Hermon African Methodist Episcopal Church, Delta Sigma Theta Sorority, the National Association of Community Health Organizations as well as a mother and grandmother. Deadline: May 31st, Applications and Info: Available at

3 NEWS RELEASE For Immediate Release: July 01, 2009 Contact: Eleace Sawyers Jessie Trice Foundation Pledges Scholarships in honor of Annie R. Neasman, RN.MS. July 01, 2009 Jessie Trice Community Health Foundation. Inc. 700 South Royal Poinciana Blvd., Suite 300 Miami, Florida The Jessie Trice Community Health foundation has made a yearly, $1,000 pledge to support two students attending either Bethune Cookman University or Florida A & M University. The new Scholarship fund is made in honor of Jessie Trice Community Health Center, Inc, current President and Chief Executive Officer, Annie R. Neasman, RN. MS. High School students pursuing studies in any of the Life Sciences are encourage to apply. A reception celebration is being held Friday September 04, 2009 at the following location. Venue: TDA Jessie Trice Community Health Foundation Miami Florida The Jessie Trice Community Health Foundation, Inc., is the fund raising arm of the Jessie Trice Community Health Center, Inc.,. a 501 c 3 non-profit organization. Please visit us at and make a donation. All donations are tax deductible to the extent the law allows.

4 Scholarship Application APPLICATION PACKET The application should include, personal statement, JTCHF Health Care Ambassador Essay, complete academic information, two letters of recommendation and a list of work and community service experience. All materials should be labeled with student s name, title of each essay/statement. PERSONAL STATEMENT The Student Statement should include reasons for wanting to further your studies in the field of science, a description of someone in the field and/or work that you admire, and your academic and career goals. Your statement should be words (double spaced) in length. Be sure to include your name at the top of your statement. JESSIE TRICE AMBASSADOR ESSAY The Jessie Trice Health Care Ambassador Essay should describe what the student believe it takes to be a true ambassador for a nonprofit healthcare organization and how your contributions, if given the opportunity, could impact the community served by Jessie Trice Community Health Center, Inc. A JTCHF Ambassador will serve as a volunteer to the JTCHF foundation for a minimum of one year, demonstrates a history of fostering positive communication and relations within the center assigned service area by: serving on community boards; taking advantage of volunteer and/or public speaking opportunities; and supporting community health activities beyond the scope of the center. LETTER OF RECOMMENDATION Two letters of recommendation from a current or past instructor familiar with your academic qualifications should be included with the application. TRANSCRIPT(S) Copies of your official high school and/or University transcripts should be submitted with the application. DEADLINE Return this completed form along with other required documents by [July 31st] to [700 S.

5 Royal Poinciana Blvd., S300, Miami Springs, Florida 33166], to be considered for the upcoming school year starting. Please type or print: Personal Information Last Name: First Name: Address: City: State: Zip: Country if outside USA: Telephone Number: ( ) Address: Today s Date Educational Information High School: City: State: Year Graduated: GPA: University: City: State: Hours Completed: GPA: Major / Intended Major: Full-Time or Part-Time (circle one) APPLICANT STATUS (please check one): High School(Senior, graduate) Transfer student from another University or university First-year student(freshman) Emphasis Interest (please indicate ): Other

6 Pharmacy Medicine Nursing Other Other FAMILY FINANCIAL INFORMATION Adjusted Gross Income of Parent(s)/Guardian(s) from IRS 1040, if applicable: [ ] Under $30,000 [ ] $31,000 to $50,000 [ ] $51,000 to $75,000 [ ] $76,000 to $100,000 [ ] Over $100,000 Applicant's gross income: $ SPECIAL ACHIEVEMENTS/HONORS AND RECOGNITION EXTRACURRICULAR ACTIVITIES/COMMUNITY INVOLVEMENT/EMPLOYMENT I herby certify that the information I have submitted as correct. I authorize the release of this information to members of the Jessie Trice Community Health Foundation Board and will provide additional information or verification upon request. If granted the scholarship, I agree to the publication of my name and other applicable information. I agree to the conditions established for this scholarship award and I understand that this scholarship award is contingent upon the availability of funding and that neither JTCHF nor JTCHC are responsible for any financial liability. I understand that scholarship recipients must expend all scholarship awards within a twelve month period of announcing the scholarship award or risk of forfeit of the award. Parent(s)/Guardian(s) Signature, if applicable: Applicant's Signature: Date Submitted:

7 Mail completed application, postmarked no later than (refer to specific sponsor application): Clementine Clinch Program Coordinator Jessie Trice Community Heath Foundation, Inc Scholarship Program 700 S. Royal Poinciana Blvd., Suite 300 Miami, FL CHECKLIST for art scholarship: 1) This completed application form 2) Personal statement 3) JTCHF Ambassador Essay 4) Transcript(s) 5) Letters of recommendations