The San Joaquin Community Hospital Volunteer Services will award five, $1,000.00 scholarships. Instructions to Applicants 1. Eligibility: Must be a Kern County high school 2017 graduating senior, who has applied and been accepted in a two or four year college or university. 2. The student selected will be awarded a $1,000.00 scholarship based on the following criteria: The applicant must have maintained a minimum 3.2 GPA The applicant is planning to enroll in a nursing or health related field of study. The applicant s family s gross income demonstrates financial need in order to attend school. 3. The committee must receive (not postmarked) all applications and supporting materials no later than, April 17, 2017. IMPORTANT Please return application to the address listed below (page 3). 4. Please note: Only the schools and students who are accepted to receive a scholarship will be notified of the award by Monday, May 1, 2017. 5. A completed application must include the following items: Completed application form One letter of academic recommendation Two letters of personal recommendation A copy of your most recent high school transcript A brief letter to the committee from the applicant including: Educational and career goals School activities Extracurricular activities Employment experience Financial need Brief autobiography Any other pertinent information Note: It is your responsibility to follow up on your letters of recommendation. They may be given to you directly or mailed to San Joaquin Community Hospital, ATTN: Volunteer Services, P.O. Box 2615, Bakersfield, CA 93303-2615. If you have any questions, please feel free to contact Debbie VanDenburg, Volunteer Services at (661) 869-6559. 1
Application Please complete the following application and return it, along with your letter to the address listed at the bottom of the application. Your application will be considered upon receipt of your three completed references, copy of most recent high school transcript and this application. Personal information: Last Name First Name Middle Name Social Security Number Current Address City State Zip Code Mailing Address City State Zip Code Home Telephone Number Cell Telephone Number What is your current level of education? Current School: Year of Study: Intended area of study: Briefly describe your educational and career goals: 2
Financial Information: Your family s annual income $ Your annual income $ Names and ages of brothers and sisters: Name Age Living in household (Yes or No) List the name, relationship, and phone number of three persons you have asked to complete recommendations for you: In a few words tell us why the scholarship committee should select you as recipient of their award: Name, address and telephone number of the College or University you plan to attend: Applicant s signature: Date: Please return your completed application to: San Joaquin Community Hospital Attn: Volunteer Services P.O. Box 2615 Bakersfield, CA 93303-2615 Applications must be received (not postmarked) by Monday, April 17, 2017 to be considered for this year s scholarship award. Incomplete applications will not be considered. 3
Academic Recommendation Name of Student Last First Middle Please complete the following recommendation for the above named student and return it directly to the APPLICANT S SCHOOL SCHOLARSHIP COUNSELOR. 1. How long have you known the applicant? Years Months 2. What is your relationship to the applicant? Student Employee Personal Acquaintance (Please explain) Other (Please explain) _ 3. Please give your personal appraisal of the applicant with regard to the following: Outstanding Good Average Below Average Motivation Resourcefulness Communication Skills Leadership Skills 4. Please comment on exceptional scholastic ability and accomplishments exhibited by the applicant. In addition, note what qualities this student possesses which would make him/her an asset to the healthcare profession. (Please use an additional page if needed.) Name (Please print) Signature Title Address Date 4
Personal Recommendation I,, am applying for a healthcare scholarship from San Joaquin Community Hospital Volunteer Services. I appreciate your willingness to complete this recommendation and return it as soon as possible to my school scholarship counselor. 1. In what capacity and how long have you known this student? 2. What key qualities about this student should be specifically considered as a prospective scholarship recipient? 3. What attributes does this student possess which would make him/her an asset to the healthcare profession? Signature Date Name (please print)_ Address City State _ Zip 5
Personal Recommendation I,, am applying for a healthcare scholarship from San Joaquin Community Hospital Volunteer Services. I appreciate your willingness to complete this recommendation and return it as soon as possible to my school scholarship counselor. 1. In what capacity and how long have you known this student? 2. What key qualities about this student should be specifically considered as a prospective scholarship recipient? 3. What attributes does this student possess which would make him/her an asset to the healthcare profession? Signature Date Name (please print)_ Address City State _ Zip 6