Health Care Scholarship

2. If "other" above, what field of study?

3. County of Permanent Residence

5. If a Dependent of an Adena Caregiver, Name of Caregiver:

6. Applicant Name

7. Address

8. City

9. State

10. ZIP Code

11. Telephone

12. Email *This question is required.

13. High School Information

School
GPA
Dates (Years)

14. College/University Info

School
GPA
Dates (Years)

15. College/University Info (Additional)

School
GPA
Dates (Years)

16. Please attach/provide a copy of your official letter(s) of acceptance. #1 *This question is required.

File: {{filename}} delete

17. Please attach/provide a copy of your official letter(s) of acceptance. #2

File: {{filename}} delete

18. Please attach/provide a copy of your official letter(s) of acceptance. #3

File: {{filename}} delete

19. School activities/achievements that you have been involved in during high school:

20. Community Service/Employment/Extra Curricular you have been involved in:

21. Essay - What Does "Hope for our Future" Mean to you?

Include with this application, a short essay (250 – 500 words) stating why you have chosen health care as a career. Please describe, also, persons or events which have helped influence you, describe opportunities you have had to actually work or observe in this career field, describe your goals, and describe your school and any community service that you have performed.
*This question is required.

22. Letter of Recommendation #1

Please provide a letter of recommendation from individuals who are familiar with your capabilities and work habits. The letter must come from a current or former teacher.
*This question is required.

File: {{filename}} delete

23. Letter of Recommendation #2

Please provide a letter of recommendation from individuals who are familiar with your capabilities and work habits. This can include a letter from a family member, friend, boss or associate.
*This question is required.

File: {{filename}} delete

24. Please provide an official grade transcript from your most recent school. Alternatively, a transcript from the school can be emailed to HopeForOurFuture@adena.org. #1

*This question is required.

File: {{filename}} delete

25. Please provide an official grade transcript from your most recent school. Alternatively, a transcript from the school can be emailed to HopeForOurFuture@adena.org. #2

File: {{filename}} delete

REMINDER: Applications MUST be received no later than 4 p.m., April 11, 2025.

For more information or if you have any questions, contact:
Robin Berno at 740-542-4483
Destiny Payne at 740-779-7049 (ext 27049)

26. I understand that the information contained in this application, required essay, transcripts, and my letters of recommendation will constitute the basis for my preliminary consideration for this scholarship. To the best of my knowledge, all of the information provided is true and accurate. I give my permission for staff of Adena Health Foundation or Adena Health System to obtain information from my high school, adult education provider, college, university or institute concerning my academic performance and use of scholarship funds, and likewise, I give my permission for my school’s officials and teachers to release such information.

Clear

Signature of

27. Date This question requires a valid date format of MM/DD/YYYY.

calendar

This is a one time scholarship and we do not notify every applicant. We notify the schools for the winning applicants but NOT every student and NOT those who were not chosen.