Current overall G.P.A.

G.P.A. in major

List any associations, awards, honors, activities or other accomplishments which you belong to or have received.  (We do not require the listing of any activities, honors, etc. which may, by the nature or title of the organization, indicate race, religion, color, sex, national origin, age, etc.)

Have you been approved to receive financial aid from any other source?

If yes, from whom?

Are you an employee or a dependent of an employee at Washington County Health System and/or its affiliates?

The following must be received by the deadline date to complete this application.

a) Certified copy of high school transcripts or most recent college transcript.

b) Certified copy of SAT and ACT scores if not currently a college student. (You need not submit your SAT/ACT scores if they are already included on transcripts.)

This is a preliminary application only.  Additional information may be required at a later date.