The Recovery Village Scholarship Entry Form
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, 2018. See the official rules for a complete list of terms and conditions.

First Name: *
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Last Name: *
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Email Address: *
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Date of Birth: *
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Mailing Address: *
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Phone Number: *
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College or University: *
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Major
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Essay Submission *
Please include a personal essay describing why you are passionate about health care, particularly substance use disorder and mental health treatment. Submissions may draw from personal, educational, or professional experience (500 words or less).
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