Healthcare Scholarship Application - The Recovery Village
To submit your entry for The Recovery Village Health Care Scholarship, please complete the following form. All submissions must include a personal essay (no more than 500 words) describing why you are passionate about health care, with a focus on substance use disorder and mental health treatment.

After all entries are reviewed, a winner will be selected for a $1,000 academic scholarship. All submissions must be received in their entirety by 11:59 p.m. Pacific Standard Time on June 30, 2019. See the official rules for a complete list of terms and conditions.

All submissions must include a personal essay (no more than 500 words) describing why you are passionate about health care, with a focus on substance use disorder and mental health treatment.

A full list of rules can be found at: https://www.therecoveryvillage.com/scholarships/terms-conditions/.

First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Phone number *
Your answer
Street Address *
Your answer
Street Address (cont)
Apt or Unit
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Student ID
Your answer
Name of School
If you have not enrolled, but intend to, please provide the name of your first choice of schools.
Your answer
Area of study or major *
Please provide intended area of study
Your answer
Year in school *
GPA *
Your answer
Personal statement *
In 500 words or less, describe why you are passionate about the drug and/or mental health industries and why you would be an appropriate candidate for this scholarship.
Your answer
Is there anything else you'd like to share?
Limit: 1000 characters
Your answer
All the information in this form is true and complete to the best of my knowledge. I consent to provide a digital photograph and quote for display on TheRecoveryVillage.com upon notification of selection as the winner. By providing my contact information, I consent to receive communications from TRV. *
Please print your name to acknowledge you agree to this statement.
Your answer
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