BEAR LAKE VALLEY HEALTH CARE FOUNDATION SCHOLARSHIP

    For High School Seniors pursuing a career in Health Care

    Name:

    Birth date:

    GPA:

    Address:

    Phone:

    Email:

    Post-secondary institution you plan on attending

    Starting Date:

    Extracurricular Participation: Drama, Music, Athletics, etc. (If needed additional pages can be attached)

    Describe your educational and career goals after high school:

    List honors, awards, and accomplishments:

    Describe service projects and activities that you have done at school or in the community. Include any leadership positions you have held:

    Please, describe: yourself, personality, interests, goals, ambition, etc.

    Signature of Applicant:

    Date:

    Please return completed form and any attachments to counselor.