5 Attach this List to Scholarship Application Form: APPLICATION CHECKLIST _______________________ LAST NAME, FIRST Reminder - place this form on the top of the application Copy the application and attachments for your own records. Attach a personal statement (not to exceed one typewritten page) of your educational plans as they relate to your career goals. Please report any unusual family or personal circumstances which you think warrant consideration. State why you are applying for this scholarship. Attach two current letters of recommendation. Attach your latest (sealed school envelope or school may send official college transcripts directly to Foundation office) Attach your college W-9 form (request from Bursars/tuition office of your college). THIS MUST BE FROM/SIGNED BY THE SCHOOL NOT THE STUDENT. Email , if the – school will not release it. Sample below: Lakeview Employees only - Attach letter of acceptance, IF this will be your first year in the program for this degree path. Lakeview Health System Volunteers Include of service and total number of hours on – previous page. Sign and attach photo/interview release form. Authorization for Photographs/Interview Addendum to SYS-ADM-018 Lakeview Foundation/Lakeview Health System I hereby authorize to: Take photographs, video and/or interview (your name) ___________________________________________ Lakeview Foundation Scholarship recipient publicity. for the purpose of: I agree to hold Lakeview Health and its member organizations harmless from any liability that may occur as a result of said photographs/interview. I understand that I may revoke this authorization up until a reasonable time before my photo or interview is used. Revoking requires notifying Lakeview Health in writing.
5 Attach this List to Scholarship Application Form: APPLICATION CHECKLIST _______________________ LAST NAME, FIRST Reminder - place this form on the top of the application Copy the application and attachments for your own records. Attach a personal statement (not to exceed one typewritten page) of your educational plans as they relate to your career goals. Please report any unusual family or personal circumstances which you think warrant consideration. State why you are applying for this scholarship. Attach two current letters of recommendation. Attach your latest official college transcripts (sealed school envelope or school may send directly to Foundation office) Attach your college W-9 form (request from Bursars/tuition office of your college). THIS MUST BE FROM/SIGNED BY THE SCHOOL – NOT THE STUDENT. Email , if the school will not release it. Sample below: Lakeview Employees only - Attach letter of acceptance, IF this will be your first year in the program for this degree path. Lakeview Health System Volunteers – Include of service and total number of hours on previous page. Sign and attach photo/interview release form. Authorization for Photographs/Interview Addendum to SYS-ADM-018 I hereby authorize Lakeview Foundation/Lakeview Health System to: Take photographs, video and/or interview (your name) ___________________________________________ for the purpose of: Lakeview Foundation Scholarship recipient publicity. I agree to hold Lakeview Health and its member organizations harmless from any liability that may occur as a result of said photographs/interview. I understand that I may revoke this authorization up until a reasonable time before my photo or interview is used. Revoking requires notifying Lakeview Health in writing.
2015%20Scholarship%20Guidelines%20and%20Application.docx