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 address (street, city, state and zip).
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.
High school seniors only.
High school seniors only.
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/Spouse 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).

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


An unofficial transcript of your most recent academic experience.


Printout or photocopy of your score report. High school seniors only. (Note: you are not required to pay to have the official report sent to us).


You can include a letter of recommendation for this program or any other program you have received in the past 6 months.

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, 2019

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 2019, and recipients will be invited to a reception to be held in mid-May.