For a full description, requirements and instructions on how to complete this application, click on the instructions link below. If you have any questions call Rita at 402-768-4636. Scholarship Application Instructions Scholarship Application - Healthcare The TCHS Hospital Guild and the Foundation for TCHS award four $500 healthcare scholarships annually. Applicants must be either a high school senior attending school in Thayer County or an adult, 18 years old or older who is currently residing or working in Thayer County. Applications are open only to students pursuing a degree in a healthcare field. The purpose of the scholarships are to provide financial assistance to eligible students or adults interested in a career in healthcare. Priority will be given to health care positions currently in existence and/or demand at Thayer County Health Services. Recipients of these Scholarships ARE NOT guaranteed employment at Thayer County Health Services upon completion of their schooling. Applications will be accepted until April 1, 2018. Award notifications will be made by May 1, 2018. The applications must include a High School or College transcript and two letters of recommendations. If you complete the online application and do not upload the forms with your submission, you will need to give hard copies to Rita Luongo at 120 Park Avenue, Hebron, NE 68370 or email them to her at rluongo@tchsne.org by the April 1, 2018 deadline. If emailing the supporting documentation, please include the students name in the subject line. Name of Applicant*(First, MI, LastHome address*City, ST, Zip*Contact Phone Number*List the best number to reach you regarding this applicationAlternate Phone #If possible list an alternate number to reach you.email Address*List an email address we can reach you at.Contact PersonParent, guardian or spouseMarried* Yes No Educational HistoryHigh School:*Year Graduated High School or will Graduate*College or Vocation School*I have not taken any college or vocation classesI have taken some college or vocation classes in High SchoolAfter High School I have taken some college courses, but haven't earned a degree.I have a College or Vocation degreeName of college or vocational school you have attendedField of study for college or vocational schoolDid you earn a degree?* YES NO Year GraduatedIf you graduated from this college, please list the year.Other educationPlease list any other education, degrees or certification you have received. Employment HistoryCurrent or last employment*Position Held*Name of SupervisorAddress for EmployerYears of employmentPhone number for employerOther employment historyList any other employers and positions held. Give a start and end date for each employer.Career Goals/InterestsCareer Goal*Chosen field of study*Why are you interested in this field?*Do you have any experience in this field?* YES NO Tell where you received your experience. Describe any responsibilities or positions you held.Name of superviorGive us the name of the supervisor for your work experience.Contact number for supervisorEducational OpportuntiesAre you enrolled in an accredited healthcare related college program* YES NO If you answered NO, when do you expect to enroll?Name of the institution where you are or expect to enroll*What type of degree or certification do you plan to obtain?*How any semesters or years will be required to obtain your education?*What is the estimated cost per semester for your education?*Other funding sources*List additional sources you will be using for financial assistance.Would you be willing to return to Thayer County Health Services upon graduation if a position were available or offered to you?* YES NO Why?*Please tell us a little more about why you you answered yes or no above. List up to six (6) activities or organizations you are active in during High School or within your community.*Volunteer activities*Volunteerism is very important to the Foundation for TCHS and the Hospital Guild. Please tell us about any volunteer activities you are involved in. They can be within the community or directly related to the Guild or Foundation for Thayer County Health Services.Transcripts Attached* YES NO, they will be mailed seperately NO, they will be emailed seperately High School TranscriptPlease upload your High School Transcript if you are a High School Student. If you are not a High School student, you will need to provide a College transcript or a copy of your High School Transcript.College TranscriptIf you are not a High School student, upload a copy of your most recent college transcript. If you have not taken any college courses, you will need to upload a copy of your high school transcript above. Letters of Recommendation* YES, both are attached NO, they will be mailed seperately NO, they will be emailed seperately 1st Letter of Recommendation2nd Letter of RecommendationAdditional information regarding your application not already provided. share:FacebookGoogle+LinkedinPinterestTwitteremail
