Scholarship Application

Thank you for your interest in The Hospital Auxiliary’s Healthcare Scholarship Program. We are dedicated to supporting individuals pursuing careers in the healthcare field.

Please complete the application form below with accurate and thorough information. Part-time or full-time employees of Novant-Hilton Head Regional Healthcare (HHRH) who are in good standing with the organization as of the date of the application are eligible to apply. Spouses and dependent children of such employees are also eligible to apply. However, individuals currently receiving tuition assistance from HHRH are not eligible.

For full scholarship instructions, please view our Scholarship Instructions Document. If you have any questions, please contact us.

We appreciate your dedication to healthcare and look forward to reviewing your application!

APPLICANT INFORMATION

Applicant Name(Required)

First Last

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Mobile Phone(Required)

Home Phone

Email(Required)

Relationship to Employee(Required)

(self, dependent child, spouse)

Previous Hospital Auxiliary Scholarship Recipient(Required)

Yes

Please List Years and Amounts Awarded(Required)

NOVANT-HILTON HEAD REGIONAL HEALTHCARE EMPLOYEE INFORMATION

Name of Employee(Required)

Work Location(Required)

Department(Required)

Position(Required)

Duration of Employment at Hilton Head Regional Healthcare(Required)

EDUCATIONAL INSTITUTION INFORMATION

Educational Institution to Receive Scholarship(Required)

Address(Required)

City State ZIP Code

Program of Study(Required)

Degree Sought(Required)

Duration of Program (years)(Required)

Years Completed(Required)

Year of Graduation(Required)

GPA(Required)

(if you are beginning your post-HS education, use your HS GPA)

Upload Essay(Required)

Please upload a personal essay that describes the following: a. Why do you need the scholarship? b. What are your educational goals? c. What are your professional goals after you graduate?

Max. file size: 5 MB.

Upload Transcript(Required)

Please upload an official transcript showing courses taken and grades received. If the applicant is currently in High School, use your High School transcript. If the applicant is currently an employee or spouse, the transcript should be from the last school that you attended.

Max. file size: 5 MB.

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