SCHOLARSHIP APPLICATION FORM

Important Information : Please read prior to completion of the application form. All information contained on this application form will be held in strict confidence and to be used only by the board supervisors.

To Be Eligible for a Scholarship, the Applicant Must Be:

• A resident of Lorain County
• Currently enrolled in or formally admitted * to an accredited course of study in medical, medical allied or health field.
• Demonstrate academic competence.
• Have need of financial assistance.

To Be Considered for a Scholarship, Each Applicant Must:

• Fully complete the application form.
• Submit transcript from school or college last attended.
• Submit students' Federal Income Tax Form 1040, 2008.
• Submit the Expected Family Contribution Form (EFC)
• Return completed application form and other information by May 1, 2010
• Submit your letter of acceptance from the institution you will be attending.

Questions about the application process and completed application forms should be directed to:

*Applicants must have completed all pre-requisites or general studies. For example, medical students are not eligible for the scholarships until their pre-med courses have been completed and they have been accepted into a specific College of Medicine. Four year nursing students are not eligible for scholarships until their Sophomore year. Pharmacy students are not eligible until they are accepted into a College of Pharmacy. Students entering schools where studies are directed to the specific career from the first year of enrollment may apply for scholarships on initial enrollment.

Printable application Form (PDF 118 KB)