Adult Scholarship Application

Parkview LaGrange Hospital Scholarship Eligibility Requirements:

  • Applicant must be pursuing a career in healthcare
  • Applicant must reside in LaGrange County

Application Checklist:

  • Download and complete entire application (Do not leave any areas blank.)
  • Provide one letter of recommendation. Recommendation letters must include name of person recommending, their relationship to the scholarship applicant, and their contact information.
  • Submit both documents using the form below.

Application Deadline:

  • Applications must be received by March 15 in order to be considered for that year’s scholarship.

Questions/Information:

  • If you have questions or would like additional information, please contact the Parkview Foundation at 260-266-7800 or scholarships@parkview.com.
     

PLH Scholarship Details
Name  *Home Address Line 1  *Address Line 2 City  *State  *Zip Code  *Phone Number  *Email Address  *

Employment information

Current position and place of employment  *How long have you been employed here?  *Current manager's name  *Current manager's email Current manager's phone number Work history - list date, position, employer and contact information for each  *Education - list healthcare-related education you have previously completed. Include date, certification or degree, and institution for each  *

Applicant feedback

Are you currently enrolled in a healthcare-related certificate/degree program? If so, please indicate the program and institution.  *What is your current educational goal? Where would you like to be professionally in 5 years?  *Why did you/do you want to choose a career in healthcare?  *What brings you the most satisfaction in your current position?  *Please list your involvement in any volunteer or community activities.  *Is there any other information about yourself that you would like us to know?