Luther Memorial Home 2016 Health Care Career Scholarships Applications for the 2016 scholarships are due to Luther Memorial Home by Monday April 11,, 2016 at 5:00pm. Scholarship Goals: • Encourage health related careers among southern Minnesota Lutheran youth Number of Scholarships: • 7 - $500 scholarships for students in the Luther Memorial Home service area including but not limited to Madelia, Lake Crystal, Amboy, Butterfield, Odin, St. James, New Ulm, Hanska, Truman and Trimont. Eligibility Requirements: • • High School seniors or current college students from LMH Service Area enrolled in or planning to enter an accredited college to pursue a career in health care. A scholarship preference will be given to active youth members in one of the Lutheran congregations that support Luther Memorial Home. Qualifications: • • • • Applications will be reviewed with a focus on the students’ goals and aspirations and academic record. GPA and relevant classes Participation in school, church, community and volunteer activities All students must submit an application and personal statement sharing their goals in Healthcare. Awarding Scholarship: Applications for the 2016 scholarships are due to Luther Memorial Home by April, 11, 2016 at 5:00pm. The Luther Memorial Home Scholarship committee reviews all scholarship applications and selects a recipient and alternate. Scholarship recipients and alternates will be notified by May 13, 2016. Should there be no qualified applicants for an award, the committee may opt to forego selection until the following year. Procedure to Claim Scholarship: Scholarship recipients must enter college within one year of being awarded the scholarship. Failure to do so will disqualify the recipient. After the completion of the first semester of health care study, the scholarship recipient must provide a copy of the grade transcript to Luther Memorial Home to process the scholarship award. A reminder will not be sent. Return application packet and all official grade transcript(s) to LMH Community Relations Department Attn: Founders Fund Board 221 6th Street Southwest, Madelia MN 56062 Phone (507) 642-3271 Fax (507) 642-8676 If you have questions contact: Luther Memorial Home Administrator Dawn Campbell (507) 642-3271 Luther Memorial Home 2016 Health Care Career Scholarship Application Applications for the 2016 scholarships are due to Luther Memorial Home by April 11 th, 2016. Scholarship recipients will be notified by May 13 th, 2016. Please Print Name___________________________ ________________________________ ______ Last Name First Name Initial Permanent address ________________________________________________________________________ Street City State Zip Home phone number ____________ Cell phone number______________________ Parent or guardian (required if minor) Name__________________________________________________________________ Address________________________________________________________________ Street City State Zip ________________________________________________________________________ Applicant Signature ________________________________________________________________________ Parent Signature (if minor) ________________________________________________________________________ Date For office use only Scholarship received (Date)_______ Copy of official transcript received ___________ Personal statement received:____________ Date of birth: ___________________________________________________________ High school graduated from/presently attending: ___________________________ High school graduation date: _____________________________________________ Formal name of college you attend or plan to attend: _________________________ Address of college ________________________________________________________________________ ________________________________________________________________________ Phone number of college: ________________________________________________ Planned area of study: ___________________________________________________ Have you made an application for admission to this school? __________________ Have you been accepted for admission or when did you start school? __________ List financial aid programs you have applied for: ________________________________________________________________________ ________________________________________________________________________ List any employment experiences: Employer Dates of employment Position Hours per week ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ List paid and unpaid experiences that demonstrate your interest and commitment to a health care career. ________________________________________________________________________ ________________________________________________________________________ High school extracurricular activities. ________________________________________________________________________ ________________________________________________________________________ Church, community service and civic activities: ________________________________________________________________________ ________________________________________________________________________ Which church do you attend? ____________________________________________ Honors and achievements. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please list three references (teachers, counselors, employers – please do not include relatives) Name Relationship Phone ________________________________________________________________________ Name Relationship Phone ________________________________________________________________________ Name Relationship Phone ________________________________________________________________________ In a personal statement please explain: 1) Why you are planning a career in health care? 2) What are your professional goals? Use additional paper….maximum of one 8 ½ x 11 page Required attachments: 1) Official copy of grade transcript from the school you are currently attending 2) Personal Statement