2024 LifeSpring Foundation of Indiana 8th Grade Essay Contest

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

To be considered for the 8th grade prize, applicants must be in LifeSpring Health System's service area of Clark, Crawford, Dubois, Floyd, Harrison, Jefferson, Orange, Perry, Scott, Spencer, and Washington counties in Indiana. One $100 award will be awarded to one 8th grader per county. The referring teacher of each winner will receive a $25 Amazon gift card that can be used towards room supplies.

Please fill out the required information below and submit your short essay on the topic mentioned.

If you would prefer to submit the application by mail, visit http://www.lifespringhealthsystems.org/lifespring-foundation-of-indiana-scholarship/ for a printable application and instructions.

**This form will close on April 19, 2024.

Please contact Dawn Bennett at dawn.bennett@lifespringhealthsystems.org or at 812-206-1209 with any questions.

Good luck to all essay participants!

Email *

Full Name (First and last name) *

Street Address *

City *

State *

Zip Code *

Home Phone (best phone to reach you at) *

School Name *

School Phone Number *

Referring Teacher Name *

Referring Teacher Email *

Referring Teacher Phone (Best phone to reach you at) *

Parent/Guardian Full Name (First and last name) *

Parent/Guardian Phone (Best phone to reach you at) *

Parent/Guardian Signature (Typing your name counts as the signature) *

Clear form

Never submit passwords through Google Forms.

This form was created inside of LifeSpring, Inc.. Report Abuse

Forms