Jerry C. Waggoner Medical Foundation Scholarship Application
2019 - 2020 Scholarship applications are due no later than 5 pm on Friday, April 30, 2019.
Your complete application, high school/college transcripts, and 2 references must be received by the Waggoner Foundation before the April 30th deadline.
If you have any questions or concerns about the scholarship application, please contact Audrey Schroeder at 806.467.5706.
Applicant First and Last Name *
Address *
City, State and Zip code *
Do you currently reside in Hutchinson County? *
School applicant will attend in the fall *
Department and major *
Current GPA *
If applicable, list academic awards/honors
If applicable, list scholarships received
If applicable, list community service/volunteer work
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service