Home  / About Us  /  Foundation

Wayne HealthCare Foundation Scholarship Application

Applications must be submitted online.
Scholarship Application Deadline is March 1st at 11:59 pm.
Applications received after will not be considered.
The award shall be made without regard to race, color citizenship status, national origin, ancestry, gender, age, religion, creed, physical or mental disability, marital status, veteran status, political affiliation, or any other factor protected by the law.

To be eligible you must:
- Be a Darke County, Ohio graduating senior or a graduate (currently enrolled in a college or university).
- Seeking a certification, degree or advanced degree with a major in Healthcare or Human Health Sciences.
- Have a grade-point average of 3.0 or higher.
- Demonstrate an interest and desire to complete educational goals.
- Have strong extra-curricular activities, school citizenship, and leadership.

Note: Applicants can apply for the Foundation scholarship twice, once as a graduating high school student and once as college students continuing their education

We look forward to reviewing your application! 
First Name  *Last Name  *Email Address  *Street Address  *City  *State  *Zip Code  *Phone Number  *Parent/Guardian Name  *High School  *Accredited College University  *Street Address of School Currently Attending  *City  *State  *Zip Code  *Course of Study  *HS Graduation Date  *College Graduation Date (Expected)  *GPA - Grade Point Average  *Photo (jpg/png):
Please attach a current picture of yourself. 
 *
Video (MOV/MP4): MOV File Formats can be uploaded within this form. To submit an MP4, please email your video to waynehealthcaremkt@gmail.com.

A short video is required, that includes an introduction and your passion for your future in medicine or a healthcare-related field. 
Essay (pdf/docx):
Please attach an essay of 500 words or less that describes your educational and career goals, including the reason for your career choice. 
 *
High School Transcript (pdf):
If your transcript contains your social security number, please black out/remove before uploading. 
 *
College Transcript (if applicable) (pdf):
If your transcript contains your social security number, please black out/remove before uploading. 
Letter of Recommendation (1/3) (pdf/docx):
Please attach letter of recommendation on letterhead. 
 *
Letter of Recommendation (2/3) (pdf/docx):
Please attach letter of recommendation on letterhead. 
 *
Letter of Recommendation (3/3) (pdf/docx):
Please attach letter of recommendation on letterhead. 
Financial Aid (pdf/docx):
Include a summary page with your potential financial aid, scholarships (awarded and pending), and plan for paying for courses of study. 
 *
Other (pdf): AUTHORIZATION OF VERIFICATION:
I certify that the information provided is correct to the best of my knowledge, and I authorize a representative of the Wayne HealthCare Foundation Scholarship Committee to contact the High School and/or College listed above to verify this information. If awarded, I agree to allow Wayne HealthCare Foundation to use my picture/likeness in any public relations and release liability. 
To sign electronically please type your name in the space provided  *Date  *Contact Information:
If you have any questions or are unable to submit your application, please contact Lauren Henry at lauren.henry@waynehealthcare.org. 
 

EXCEEDINGLY WELL

"My daughter who was visiting me was cold and a nurse came in with a heated blanket. WOW! Nice gesture!"

Wayne HealthCare Patient