CRH Scholarship Application and Rules
CRH Scholarship Application and Rules
APPLICATION FORM
APPLICANT:
This form must be completed for consideration to receive a Crossing Rivers Health
Scholarship for education in a health occupation, with the exception of those
pursuing medical school. Please complete the application with the help of your high
school and submit it to the office of the Chief Executive Officer at Crossing Rivers
Health no later than Wednesday, March 16, 2016.
ATTACHMENTS:
1.
2.
Letter of Recommendation
NAME
PARENT/GUARDIAN
TELEPHONE
ADDRESS
CITY
SSN
STATE
ZIP
HIGH SCHOOL
STATE
ZIP
STATE
ZIP
ADDRESS
DATE
PARENT OR
GUARDIAN'S SIGNATURE
DATE
PRINCIPAL OR
COUNSELOR'S SIGNATURE
DATE
==========================================================================
OBJECTIVE CRITERIA
I.
and/or
II. Student's cumulative high school grade point average (GPA) using a 4.0 base.
III.
IV.
VI.
Yes
If yes, what type of work and how many hours per week?
Word:SCHOLARSHIPAPPANDRULES
03/2016
No
PURPOSE
AND
OBJECTIVE:
The Scholarship Committee of Crossing Rivers Health will award scholarships each year to
qualifying students who are pursuing higher education in a health care occupation. The number of
scholarships awarded for health occupations will be based upon the finances available in the
scholarship account. The maximum amount of a scholarship is $8,000.
2.
Scholarships for health occupations shall be awarded to graduating high school seniors from the
hospitals health care service area.
3.
The Chief Executive Officer or his designee will contact the area school guidance departments
regarding the availability of the scholarship program.
4.
Selected scholarship applicants, along with their parent(s) and/or guardian(s), will be interviewed by
Crossing Rivers Healths Scholarship Committee or a designee. The Chief Executive Officer or his
designee will also contact the respective school guidance counselor regarding applicants for the
scholarship.
5.
Scholarships will be awarded based upon the following criteria (not necessarily listed in the order of
importance):
6.
a.
b.
c.
d.
The Scholarship Committee of Crossing Rivers Health will review and make the final decision on
the awarding of scholarships.
The Crossing Rivers Health Scholarship Committee shall be responsible for investing scholarship
funds in a timely manner; all accounting and reports relating to the scholarship fund shall be
prepared by the Chief Executive Officer or his designee.
8.
Scholarship funds will be paid directly to the college designated by the recipient with the first year
payment being submitted at the beginning of the second semester. Subsequent payments will be
submitted at the beginning of each of the following semesters. Total payments will not exceed
$8,000.
9.
10.
Recipient must maintain good progress and academic standing in the program. Nonconformance or
withdrawal from the program will require immediate payback of all funds to Crossing Rivers
Health. The balance due shall include the principal plus interest computed at an annual rate and
compounded quarterly from the date of disbursement.
11.
Word:SCHOLARSHIPAPPANDRULES
03/2016