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.

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