2016-04-11 LMH Scholarship

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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
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