Scholarship Application
Applicant Information
Full Name:
Date:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
State
Phone:
ZIP Code
Email
Name & Address of parent(s) or legal guardian(s)
Name(s)
Street:
City:
State:
Phone Number:
Education Information
Current High School/College enrolled in:
Current Year: ☐Freshman ☐ Sophomore ☐ Junior ☐ Senior
I will be attending the following school in the Fall of 2015:
Grade Point Average (GPA):
(4.0 Scale)
Please complete the following IF in high school)
SAT Math:
SAT Verbal:
SAT Total:
WestSound Orthopaedics P.O. Box 450 Silverdale, WA 98383 (360) 698-6630
Extracurricular Activities
Extracurricular Activities: (You may attach a word document if needed)
Activity:
Roles and Responsibilities:
Essay Questions
Essay Questions: (Please attach your answers in a separate word document)
1. How will your study in the health career field contribute to your immediate or long range career plans?
2. Why do you want to work in health careers?
3. Explain the importance of health careers in today’s society?
4. What do you think the industry of health careers will look like in the next 10 years?
5. What are the most important issues the health career field is facing today?
WestSound Orthopaedics P.O. Box 450 Silverdale, WA 98383 (360) 698-6630