High School Nursing Scholarship Application

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High School Nursing Scholarship Application

"*" indicates required fields

Step 1 of 4

25%

Your Contact Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Phone*

Current High School*

Current Highschool Graduation Date*

Nursing School You Will Be Attending*

Your Area of Study*

Nursing School Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Other Contact Information

Parent/Guardian Name*

First Last

Parent/Guardian Phone*

Parent/Guardian Email*

Is your Parent/Guardian currently a Luthercare Team Member?*

Yes

High School Contact Person*

Who may we contact at your High School if we have questions about your application? (Guidance counselor or other school official)

First Last

High School Contact Phone*

High School Contact Email*

Essay

Either upload or enter text below describing in 750 words or less why you have chosen nursing as your field of study, and why should receive this scholarship.

Accepted file types: pdf, doc, docx, Max. file size: 300 MB.

Essay

Please describe in 750 words or less why you have chosen nursing as your field of study, and why should receive this scholarship.

0 of 6000 max characters

Letters of Endorsement

Submit two letters of endorsement.

Letter of Endorsement (School Official)*

Please submit a letter of endorsement from a school official (teacher, coach, or guidance counselor, etcetera).

Accepted file types: pdf, doc, docx, Max. file size: 300 MB.

Letter of Endorsement (Community)*

Please submit a letter of endorsement from a community member (pastor, physician, club leader, etcetera).

Accepted file types: pdf, doc, docx, Max. file size: 300 MB.

Phone

This field is for validation purposes and should be left unchanged.

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2025 Luthercare. 600 E. Main Street | Lititz , PA 17543 | Telephone 717.626.1171 | Fax 717.626.1610