2019 LifeSpring Foundation of Indiana Scholarship Application
To be considered for a scholarship, 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 $500 scholarship will be awarded to one high school senior per county. Please complete the form below and also submit the following:

•An essay outlining your plans of study in the primary care, mental health, or social service field. It should include your career goals in the mental health field, your real-life experiences with person(s) having a mental illness/substance abuse disorder (whether it be a family member or friend) if any, and what you have learned from personal experiences or studies about mental illness/substance abuse disorders, and how our society could better provide services to meet mental health needs.
•Transcript to date
•Two letters of recommendation from either teachers or counselors

If you would prefer to submit the application by mail, visit http://www.lifespringhealthsystems.org/2019scholarshipapp/ for a printable application and instructions. **This form will close and all applications must be received/postmarked by April 5, 2019.

Email address *
Student's name
Address
Phone Number
High School
High School Phone Number
Overall GPA (on 4.0 scale)
Graduation Date
Days Absent Senior Year
Next
Never submit passwords through Google Forms.
This form was created inside of LifeSpring, Inc.. - Terms of Service