Apply for a Scholarship

Health Profession Scholarship Application

Please read each section carefully, complete all fields, and click “Submit” at the end of the application. Form must be submitted electronically.

Please choose one
Section 1: Personal Information
Please include the area code.
Complete mailing street address.
City for mailing address.
State for mailing address.
Zip Code for mailing address.
Only needed if different from your address above.
Where you graduated high school and/or have resided for at least five years.
Section 2: Academic Information

Provide information on the health profession-related program in which you are, or will be, enrolled.

e.g., BS/Biology, Medical Assistant certificate
Required for all applicants.
List in chronological order, beginning with high school, and give location, degrees or diplomas granted, and date completed. e.g., Everett Community College, Everett, WA - AS Degree - June 2009
Section 3: Health Profession Activities & Goals
List co- or extra-curricular activities in which you have been involved, including jobs directly related to your chosen health profession.
Please limit to 200 words.
Section 4: Parent/Guardian Information
If different than your permanent address from above.
Please include the area code.
Section 5: Essay
Provide an example about an experience that drove you to pursue a health care career. Essay should be between 250 and 4,500 characters.
Section 6: Documents

Upload your documents here (JPG, JPEG, PNG, and PDFs accepted).

Use short file names with no spaces, symbols or extra characters. Please keep file sizes under 2mb.

Required for new applicants and those changing schools or academic programs only.


An unofficial transcript of your most recent academic experience.


Section 7: Consent and Certification

I have read the instructions and certify that the above information is correct and complete. I understand that in the event I do not complete the academic year for which an award is given, or I cease to be enrolled full time while an award is in effect, I will be required to refund the grant award in full. I also understand that typing my name below will be considered my electronic signature.

Application Due Date: March 31, 2021

Application materials submitted electronically or postmarked after this date will not be considered. You will be sent a confirmation via email once all of your application materials have been received. All applicants will be notified of the committee’s decision before May 2021, and recipients will be invited to a reception to be held in mid-May.


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