CCH Foundation - Paynesville Scholarship Application

CentraCare Health Foundation – Paynesville

SCHOLARSHIP

200 West First Street

Paynesville, MN 56362

Email:

Phone: 320-243-7938

SCHOLARSHIP APPLICATION

Instructions: All parts of the application and the letters of recommendations must be submitted by January 31st. The Scholarship Committee may ask for additional information. Please mail your application to the above address, deliver to the Foundation Office (located in the Lake Avenue building – near Paynesville John Deere or email to ). All information will be kept confidential and the decisions of the Scholarship Committee will be final. Applicants will be notified by May 1.

Scholarship requirements:

1. Must live in the CentraCare Health - Paynesville area or have a clinic in your community and be a graduating high school senior.

2. Be enrolled fulltime fall of 2018 in a college pursuing a health care profession (technical, associate or bachelor degree).

3. Completion of scholarship application including essay.

4. Two letters of recommendation.

5. Do not staple or print double sided.

Scholarship details:

1. Scholarship award amount $1,000.

a) Two scholarships will be awarded

2. Successful completion (2.5 GPA or higher) of one college semester is required prior to receiving scholarship check.

CCH Foundation - Paynesville Scholarship Application

SECTION I – Applicant Information Date

Name:

______Last First Middle

Home Address:

______Address City State Zip

Phone Number: ______

E-mail Address: ______

SECTION II – Educational Information

High School______Graduation Year______

Cumulative GPA ______

College will attend ______

College Contact Phone Number: ______Expected Graduation Year_____

Type of Program: _____Associate ______Technical ______Bachelor

Will be enrolled as a fulltime student fall 2018 _____Yes ______No

SECTION III – Essay

Please type your comments and attach on a separate document.

1. Describe your health care career goals and plan to reach those goals.

2. Why do you feel deserving of this scholarship – include past life experiences.

3. What is your community involvement – if applicable include health care volunteering.

4. What is your financial need? What scholarships have you applied for and list those you have been awarded.

SECTION IV – Letters of recommendation

2 letters of recommendation

I certify that the above information is true and correct to best of my knowledge.

Applicant’s Signature ______Date ______