Memorial Healthcare Foundation Grants and Career Development Scholarship

Memorial Healthcare Foundation

Five (5) $1,000 scholarships are available, depending on the number of applicants and their qualifications.  Final awards will be determined by the Memorial Healthcare Foundation (MHF) Grants and Career Development committee.  The purpose of the MHF Grants and Career Development Committee: “Dedicated to assisting individuals in their pursuit of health related careers while providing highly qualified candidates to Lafayette County.”

Qualifications:

  1. Resident of Lafayette County, Wisconsin
  2. Pursuing degree in health care related field
  3. Have completed one year post-secondary education
  4. GPA 3.0 or higher
  5. Have not received this award within the last 12 months

Application Deadline:  April 30, 2017

Instructions:  Please complete and submit the application form below, including attached files for two letters of recommendation and your most recent report card or transcript.

Contact information for questions or comments:

Sue Paquette        
Community Outreach Director
Memorial Hospital of Lafayette County
800 Clay Street
Darlington, WI  53530
(608) 776-5731 

sue.paquette@lafayettecountywi.org


Scholarship Application Form

We will be accepting applications for 2017 Scholarships from April 1st through April 30th.

Contact Information
Home Address
School Address
Personal Information
Education Background
High School
College or University #2 (If Applicable)
College or University #3 (If Applicable)
College or University #1 (If Applicable)
Employment History
Add up to six (6) employment references, starting with the most recent.
Employment Experience #1 (Most Recent)
Employment Experience #2
Employment Experience #3
Employment Experience #4
Employment Experience #5
Employment Experience #6
Essay Questions
Attachments
Please submit electronic copies of two letters of recommendation and your most recent report card or transcript. One letter of recommendation must be from an instructor or academic advisor in your current area of study. Please do not include letters written by family members. Attached files may be scanned images, PDFs, Microsoft Word documents, text files, etc.
Certification
I hereby certify that all entries on this application form and the attachments are true and complete. I also agree and understand that any falsification of this information may result in my disqualification from Memorial Healthcare Foundation grants and scholarships. I understand that all information on this application form is subject to verification. I also agree that Memorial Healthcare Foundation may contact references and educational institutions listed on this application form.