Name:
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NATIVE AMERICAN HEALTH EDUCATION FUND
SCHOLARSHIP APPLICATION
2016-2017
Dear Applicant:
The scholarship application for 2016-2017 for the Native American Health Education Fund follows. This
completed application along with all transcripts, tribal documentation, letters of recommendation, last
semester grades and other information must be submitted by March 30, 2016.
Only complete applications will be considered.
Send completed application to:
hsturges@hotmail.com
or
Native American Health Education Fund
1701 Pleasant Green Road
Durham, NC 27705
Candidates will be selected on the basis of scholastic achievements, financial need and personal
qualifications. The Board is especially interested in those students who wish to serve Native Americans
in their communities. Scholarships range from $500 to $1000.
Thank you for applying for this scholarship.
For assistance, email:
The Rev. Harriette Sturges at hsturges@hotmail.com.
Name:
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NATIVE AMERICAN HEALTH EDUCATION FUND
The Native American Health Education Fund (NAHEF) provides financial aid to Native Americans who are
pursing careers in health related fields. Native Americans have multiple medical needs that are not
being met by their communities or reservations. Native American experience higher rates of diabetes
and its associated complications, infant mortality, and heart diseases than other populations in this
country. This fund was started in the hope that by providing help to Native American students pursuing
careers in health related fields all Native Americans would benefit. NAHEF scholarships are awarded to
students who show a desire to return to their communities and provide improvements in health care.
The fund began with a modest gift from the late Linda Hirschmann, an author, teacher and humanitarian
who was especially concerned with the needs of indigenous peoples. Dr. Jacqueline C. Harris, a Duke
University emeritus physician and professor, along with many friends of Linda, decided that establishing
a scholarship fund for Native Americans planning careers in health related areas would be an
appropriate use of Linda’s bequest.
The NAHEF awarded its first scholarship in 1990. To date 157 scholarships have been awarded to
students pursuing careers in medicine, nursing, dietetics and nutrition, medical technology, physical
therapy, pharmacy, social work, medical research ( biochemistry) and other applicable fields.
The fund is administered by a Board of Directors, which strives to include at least one Native American
and one medical professional as members. The Board works to help meet the increasing need for
trained health care professionals in Native American communities. All contributions to the fund are tax
exempt through the Triangle Community Foundation of North Carolina’s 501(c)(3) status.
Name:
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NATIVE AMERICAN HEALTH EDUCATION FUND APPLICATION
FOR SCHOLARSHIP 2016/2017
NAME:
MAILING ADDRESS:
EMAIL ADDRESS:
HOME ADDRESS IF DIFFERENT FROM MAILING ADDRESS:
CAMPUS ADDRESS IF DIFFERENT FROM MAILING ADDRESS:
PHONE NUMBERS:
STUDENT ID#
DATE OF BIRTH
TRIBE:
Be sure to include a copy of your Native American Tribal card or equivalent identity with this application.
Marital Status:
Single
___________
Married_____________
EDUCATION
1. What specific degree or certification do you expect to earn?
2. What was the last school you attended?

Please enclose a copy of your transcript.
Name:
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3. If entering your freshman year, please list the following SAT or ACTS scores.


Verbal
Total
4. List the name and address of the school you will be attending 2015-2016.
5. Will you be attending:


Full time ___________
Part time ___________
NON ACADEMIC EXTRACURRICULAR ACTIVITIES

SPORTS

OTHER INTERESTS AND HOBBIES

COMMUNITIY ACTIVITIES
HONORS AND AWARDS- ACADEMIC AND OTHERS
EDUCATIONAL AND PROFESSTIONAL GOALS

Intended field of study

Post graduate goals either academic or where you plan to serve
Name:
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In 250 words or less please state your reasons for seeking a health career education. You may attach a
separate page for this.
RECOMMENDATIONS: Please send separately or enclose with the application TWO current letters of
recommendation from professors, advisors, employers, ministers, or people from the community who
know you well. These may be emailed separately to Harriette Sturges at hsturges@hotmail.com.
Name:
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FINANCIAL STATEMENT
1. The total number of your dependents: ____________
2. Those dependent on your parents including not only children but other dependents such as
grandparents etc. ________________________
3. Please explain any expenses for your family like siblings in college. Illness, disability, and extra
transportation needs.
CALCULATED NEED FOR 2015/2016
$___________________
AVAILABLE FINANCIAL CONTRIBUTIONS

PARENTS:
$_____________

STUDENT:
$______________

CHURCH/COMMUNITY
$______________

OTHER
$______________
FINANCIAL RESOURCES FOR 2015/2016









GRANTS
TUITION WAVERS
SCHOLARSHIPS
PELL GRANT
SEOG
SUBSIDIZED LOANS
UNSUBSIDIZED LOANS
WORK STUDY (FW)
OTHER
TOTAL AVAILABLE FUNDS
$________________
$________________
$________________
$_______________
$________________
$________________
$________________
$_________________
$_________________
$__________________
CALCULATED FINANCIAL NEED FOR 2015/2016



TUITION
FEES
ACTIVITY FEES
$__________________
$__________________
$__________________
Name:




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HOUSING
FOOD
BOOKS/SUPPLIES
CHILDCARE
$__________________
$__________________
$__________________
$__________________
Please enclose a financial need analysis from your university.
Please note that this application will be considered incomplete if it is received after March 30, 2016; if
letters of recommendation are not current or received; if transcripts and last semester grades aren’t
received; if the financial information is not totally completed; and if a section of this application is left
blank without an explanation. Please sign below
Signature of Student:
__________________________
Date completed:___________________
Thank you for applying.