Lillian Saure Auxiliary Scholarship Application Date* MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Occupation*If you're a full-time student, please list as "student"Parent(s) Name(s), if dependentHigh School Attended*Expected/Actual Date of Graduation*GPA*College or other post-secondary schools attended.Include school name, years attended or graduation date, and GPAPost-Secondary plans: School where you've been accepted*Healthcare major or program*Tuition cost per semester*Total cost per year*Place of employment (current or most recent), job duties, and datesPlace of employment (previous), job duties, and datesPlace of employment (previous), job duties, and datesPlease explain...*Any experience you have had working in a nursing home, hospital, home care, or elsewhere in the health care field. This can include paid work and volunteer experience.Please explain...*Do you have any definite plans following your education?Please list...Other scholarships you have applied for and their amounts.Financial NeedDescribe any circumstances that affect your and your family's ability to pay the costs of your education (optional).Reference Name #1:*Please ask two people who know you and your abilities well, to write a letter of recommendation for you. E.g. teacher, employer, counselor, clergy person. Provide us the names of your two references, and have them send their letters directly to Lillian Saure Nursing Scholarship, PioneerCare Center, 1131 Mabelle Ave. S., Fergus Falls, MN 56537 prior to the application deadline.Reference Name #2:*REQUIRED SUPPLEMENTS TO APPLICATIONWrite a brief one page essay stating why you are pursuing a career in healthcare and how you would benefit from a scholarship. Include this essay along with official high school and any college transcripts postmarked no later than the application deadline.CommentsThis field is for validation purposes and should be left unchanged. Δ
