Health Services Academy & One Blood Scholarship Application $500

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1 Health Services Academy & One Blood Scholarship Application $500 Application due date: May 3, DEADLINE for scholarship applications is May 3, Refer to application process below for a list of the supporting documents needed (i.e., reference forms, evidence of GPA, etc.) Incomplete applications will not be considered. 3. If any question does not apply to you in this application, please put N/A in the space. 4. Type or print legibly. Illegible applications will be returned to you. 5. You will be notified at the Senior Awards/STEM Banquet 6. If you have any questions about the application, please call Brandy Meadows, ext or at: bemeadow@volusia.k12.fl.us PURPOSE The Deltona Health Services Academy received money from One Blood and provides students with opportunities to grow within the medical field. Preference will be given to students who are in the Health Services Academy, have completed all 4 year, and have volunteered for 2 or more Blood Drives. FINANCIAL ASSISTANCE is based on academic performance, leadership potential, and participation in Health Services Academy including volunteer hours earned with One Blood Drive. Scholarships are awarded annually provided funds are available. SCHOLARSHIP AWARDS The Health Services Academy awards scholarships based on a comprehensive process. Areas that are reviewed by the committee include but are not limited to the following: Academic Accomplishments, Community Service with the Blood Drives, References, Personal Essay and Financial Need. The Health Services Academy and One Blood scholarship funds directly to the recipient. Scholarships are awarded on a one-time basis of $500 and are nonrecurring due to limited availability of funds. CRITERIA Applicants must be completing or have completed high school successfully with a minimum weighted GPA of 3.5 on a 4.0 scale. Applicants must have completed the Health Services Academy through level 4: At Deltona High School Applicants must have participated in 2 years: Regional and State Competition at Deltona High School. Applicants must have completed volunteer hours with at least 2 Blood Drives. Applicants must have completed 100 hours of volunteer services Applicants must be accepted as a full-time student at a Technical College, Community College, or 4 year University for the upcoming academic semester. Applicants must complete and submit a Scholarship Application by May 3,

2 Application Process SCHOLARSHIP APPLICANTS MUST PROVIDE: Completed application form. Official proof of academic standing will be confirmed by Teacher. Two letters of references, at least 1 academic, from a guidance counselor or teacher; and 1 from a community sponsor. Proof of acceptance at an academic school for post-secondary studies. Please mail OR submit application in person to: Health Services Academy & One Blood Scholarship Deltona High School Att: Brandy Meadows Bld Wolf Pack Run Deltona, FL

3 Application 2019-must be filled out by applicant. Please type on a separate sheet or print your answers below. If application is illegible it will be returned to you. 1 Last Name: First Name: 2 Mailing Address: Street: City: State: ZIP: 3 Telephone Number: ( ) address: 4 High School Attended: Number of years attended HS: 5 I will be attending the following school in the Fall of 2019: Address/ Phone 6 Will you be a full-time student? 7 Grade Point Average (GPA): (On a 4.0 scale) Attach proof of GPA; Will be verified by Mrs. Meadows 8 Name & address of parent(s) or legal guardian(s): Use reverse side of application if you need more space. Name (s) Street: City: State: ZIP: Home phone of parents or legal guardians:. What specialty/major do you plan to major in as you continue your education? 9 10 List the name of any college you have attended Began Ended Graduated Type of Degree Received 3

4 A. B. Please list the following information on a separate sheet if needed. 11 SCHOOL EXTRA-CURRICULAR ACTIVITIES: Please list school extra-curricular activities in which you have participated. Note leadership roles and dates. 12 AREA OF STUDY: What do you want to study and why? 13 ORGANIZATIONS: Please list community organizations such as service, volunteer and religious organizations in which you are now active or have previously been active. Note leadership roles and dates. 14 RECOGNITIONS: Please list important awards and recognitions received. Note organizations presenting honor and date. 15 GOALS: What are the short- and long-term goals for your life? 16 NEED: Please explain your need for the Health Services Academy & One Blood Scholarship 4

5 17 CAREER PLANS: What are your career plans and what would you like to be doing in 10 years? 18 O A. The following items must be attached to this application for the application to qualify and reviewed by the scholarship committee. B. Your application will be returned to you if these items are not attached to this application. (No exceptions.) C. Circle YES or NO to be sure you have attached each item as required. YES NO Two reference forms. Your references will to bemeadow@volusia.k12.fl.us or be submitted in a sealed envelope to be turned in with application. YES NO Proof of college acceptance or current student enrollment. A letter of college acceptance or program acceptance is required for receipt of funds. YES NO Most recent high school or college transcript. To be confirmed by Mrs. Meadows YES NO Answers to questions 1-18 STATEMENT OF ACCURACY I hereby affirm that all the above stated information provided by me to the Health Services Academy & One Blood Scholarship Committee is true, correct and without forgery. I also consent that my picture may be taken and used for any purpose deemed necessary to promote the Health Services Academy. I hereby understand that if chosen as a scholarship winner, according to scholarship policy, I must provide evidence of enrollment/registration at the post-secondary institution of my choice before scholarship funds can be awarded. Signature of scholarship applicant: Date: The deadline for this application to be received by Health Services Acadmey & One Blood Scholarship Committee is May 3,