March 29, 2016

Re:Optim Medical Center – TattnallHospitalScholarship Application

To whom it may concern,

I am pleased to announce that our Hospital will be awarding two $1000.00 scholarships this year. One will be awarded at Pinewood Christian Academy and one at Tattnall County High School.

I have enclosed a copy of our Scholarship Application that can be copied for any students who are interested in applying. We will award a senior $1000 toward their education in a healthcare field. We have designated a deadline of Friday, April 29, 2016 to be eligible to participate. The announcement will run for the next few weeks in the Tattnall Journal, Glennville Sentinel, and Claxton Enterprise. Please let me know when your Honor’s Day date is set so I can finalize arrangements for the presenter.

We look forward to hearing from your students. I can be reached at 557-1212 if you have questions.

Sincerely,

Paula Fennell

Auxiliary Director

2016

Healthcare Scholarship Application

($1000)

Eligibility Guidelines:

  1. Please type or print legibly.
  2. Graduating senior must be entering the health field.
  3. Student must have a “B” or better average, must have applied to college, and must be a student at TattnallCountyHigh School or PinewoodChristianAcademy.
  4. High School transcript and three letters of recommendation from faculty members and/or administrators must accompany application.

Name of High School______

Date of Graduation______Honor’s Day______

Applicant’s Name______Age______

Address______

Daytime Telephone Number______

Parent’s Names:Father______

Mother______

List any high school activities or organizations in which you have participated and any office(s) held.

______

List any community activities in which you have participated and any offices held. (Example: Church, FFA, Clubs, Scouts, etc.)

______

What special awards or honors have you received? (Please include dates.)

______

Have you ever been employed?_____Yes_____NoIf yes, please list the names of the companies or persons for whom you have worked. ______

College or TechnicalCollege You Plan to Attend:

Name______

Location______

Field of Study______

Have You Been Accepted as of This Date?_____Yes_____No

Why have you chosen this field of study? ______

Please attach a 500-word essay explaining the importance of access to healthcare in rural Georgia.

I certify that the above statements are true and correct to the best of my knowledge.

______

SignatureDate

______

Social Security Number

**You may attach additional sheets for any section as needed.

**Deadline to submit application: Friday, April 29,2016.

Optim Medical Center - Tattnall

Attn: Paula Fennell, Director of Auxiliary

247 S. Main Street

Reidsville, Georgia 30453

Tel: 557-1212Fax: 557-1316