APPLICATION BLANK FOR SCHOLARSHIP GRANT
VIRGINIA REGIONAL MEDICAL CENTER

NAME ________________________________________    DATE _______________

ADDRESS _____________________________________   PHONE ______________

                    _____________________________________

HIGH SCHOOL ATTENDED & YEAR OF GRADUATION

    _______________________________________________

WHAT COLLEGE OR TECHNICAL SCHOOL WILL YOU ATTEND?

    ________________________________________________

WHAT MAJOR COURSE OF STUDY WILL YOU PURSUE?

    _________________________________________________

***I, herewith, make application for a $500 scholarship grant to help cover the cost of tuition, books, and/or uniforms.  I will report my progress to the VRMC Auxiliary upon completion of my first quarter/semester.

Please write a brief essay on why you have chosen a health-related career, and support that with a list of your work, community, and school involvement.  Feel free to use another sheet of paper for this.

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                                                                             Signature Of Applicant

VIRGINIA REGIONAL MEDICAL CENTER
$500 AUXILIARY SCHOLARSHIP

QUALIFICATIONS

1. The applicant shall be a senior graduating from a high school in the Virginia Area.
2. The chosen post-secondary school must be an accredited college/technical school.
3. The chosen course of study must be in a health related field.
4. The applicant must have been accepted by the school of his/her choice.
5. The applicant must possess good character and personality.
6. The applicant must have an accumulated grade point average not below 3.0 (on a 4.00 scale).

APPLICATION PROCEDURE:

Application for a scholarship shall be made to the VRMC Auxiliary with an official transcript of grades and recommendations from two (2) persons knowing the applicant personally and not being related to him/her.  Please send all necessary forms to the:
          VRMC Volunteer Service Organization
          901 N. 9th. St.
          Virginia, MN 55792

The auxiliary must receive applications and recommendations no later than April 1 preceding the beginning of the course of study (4/1 for fall start of school).