Return to the office
by April 1
HOSPITAL AUXILIARY $1000 SCHOLARSHIP
($500 at beginning of 2nd Semester of the 1st year
and $500 at beginning of the 2nd year)
Health Related Field
Major Field of Study______________________________________________________
College or University______________________________________________________
Please write a paragraph or two telling us about yourself and what you hope to accomplish in life.
List and/or explain any involvement in community activities (4-H, scouts, church etc.)
List and/or explain any extra-curricular school activities and years of involvement.
Describe any special circumstances which may have limited your participation in school and community activities.