Sky Lakes Medical Center Scholarship Application

Sky Lakes Medical Center Scholarship Application

Sky Lakes Medical Center Foundation offers scholarships to college students. The scholarships are made possible by the generosity of Klamath-area families and organizations. This year there will only be ONE online application for all SIX scholarships. Your application will automatically be presorted based on specific scholarship criteria. Please review the following individual scholarship requirements to determine if any of these scholarships are right for you.

Eligibility varies by Scholarship Committee.

Elks Valerie Murphy Memorial Scholarship

GPA minimum of 3.00.
Accepted and enrolled full-time in any school for a health and/or science field.
First consideration will be given to students serving in the military.
Second consideration will be given to students who have family serving or have served in the military.
A Third consideration will be given to high school seniors serving in the Civil Air Control (CAP)

James Bocchi Memorial Scholarship

Non-first-year college students attending and/or accepted into a nursing program at KCC or OHSU/OIT
Graduates from Klamath Basin High Schools, public or private.
GPA at least 2.5 or equivalent.

Klamath Falls Elks Nurse's and Health Careers Education Scholarship

Priority to those attending/accepted into OHSU Nursing program.
Studying health related fields.
Priority to graduates from Klamath Basin High Schools, public/private.
GPA of at least 2.0 or equivalent.

Holman Scholarship

OIT competitive student athletes only.
Enrolled/accepted in any health occupations program at OIT.

Dr. Ralph Waldo Stearns Scholarship

Enrolled in any accredited school of nursing.
GPA at least 2.0 or equivalent.
High School diploma with course work in physics, chemistry, math, or general science.
Priority to graduates from Klamath Basin High Schools, public/private.

The Linkville IPA Fund Scholarship

Awards up to $10,000/year
The Linkville IPA Scholarship Fund aims to provide financial support for tuition to medical students who are enrolled in an accredited, certified and/or qualified medical school.
From the Klamath Basin
Planning to enter a primary care field (family medicine, pediatrics, internal medicine)
Planning to return to practice in a Klamath Basin (or a rural/underserved region)
Applicant shall be accepted/enrolled as a full-time student in medical school.
GPA 3.0 or above and in good academic standing.
If an applicant receives a scholarship award, they shall agree to submit all information needed to verify the recipient’s eligibility to receive fund money.

INSTRUCTIONS: It is encouraged that you pre-write all narrative entries in word and cut and paste into the fillable PDF form application. No letters of recommendations required. Once complete click SUBMIT tab at the top of page one and email the following to Foundation@skylakes.org.

Please Upload:

A. Unofficial transcripts from High School and/or College

B. Resume with at least 3 references

Drag and drop files here or

PERSONAL INFORMATION:

Applicant Last Name:

Applicant First Name:

Applicant Date of Birth:

If Married, Spouse Name:

If Married, Spouse Ocupation:

Email Address:

Current School:

School City:

School Zip Code:

Applicant Home Address:

Home City:

Home State:

Home Zip Code:

Applicant Phone Number:

Phone

COLLEGE FINANCIAL AIDE OFFICE

Where your scholarship award will be sent:

Name of college you plan to attend next year:

College Financial Aid office street address:

College City:

College State:

College Zip:

Student ID:

EDUCATION BACKGROUND

High School:

Did you attend a High School in the Klamath Basin, either public or private?

Yes

High Schools Attended

List High Schools attended, the location, and dates attended:

Current GPA:

College Currently Attending:

Year in College or College credit level equivalent

Next Year College

Name of School or College you plan to attend next year:

Reason if Transferring

If you are transferring from your present school or college, please state reason:

Colleges Attended

List colleges attended, the location, and dates attended:

Plans to Graduate

From which school or college do you plan to graduate?

When?

When do you plan to graduate?

Nursing Program

Are you accepted and currently enrolled in an accredited nursing school program?

Yes

Health or Science Field

Are you currently enrolled in a health or science field other than nursing?

Yes

If answer is yes

Please name the field you are studying:

SPECIAL INTEREST AND WORK EXPERIENCE

Volunteered

Have you volunteered over 50 hours of community service?

Yes

List activities

List activities (including volunteering) in which you have taken part during the last two years of high school, in college or with the community/church organizations. Mention any special recognition received or offices held: (Example: school, activity, special recognition held) (limit 100 words)

Special honors, prizes, or scholarships

List special honors, prizes, or scholarship you have received for academic work during your last two year of high school and in college: (limit 100 words)

OIT competitive sports

Yes

Work Experience

Briefly describe your work experience (part time, full time, and volunteering). List employers, job titles, and description of work. Detailed explanation in attached resume. (limit 100 words)

Financial

Help with college

Are your parents helping you with college?

Yes

Scholarships

Have you been awarded scholarships for college?

Yes

Scholarships applied or awarded

List the scholarships you have been awarded or have applied for:

Student Loans:

Are you getting any loans to pay for college?

Yes

Savings

Have you accrued any savings while not in college?

Yes

Earning money

Are you earning money while attending school?

Yes

Sources of income

Do you have any other sources of income to help you with college expenses?

Yes

Estimated amount needed

What is the estimated total amount of additional cash needed for next year in college? (ex: $9,000)

Other Comments

Other comments for the review committee regarding your financial need for college:

YOUR REASONS FOR CHOOSING HEALTHCARE:

Why Healthcare?

Why have you chosen your field of healthcare? (limit 100 words)

ESSAY QUESTION:

Essay Question

Write about yourself, including hobbies, plans and aspirations, factors which have favorably or adversely influenced your life, health, reason for desiring to attend the school or college you have chosen, and any other information about yourself which you think is pertinent. (limit 450 words)

Send me a copy of my responses

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