Scholarship Application

Applicant Details

To be eligible for this year's LCW scholarships, please complete all required fields below and submit your application by October 15, 2024.

First Name *

Last Name *

Email *

Phone *

Address *

County of Residence *

Applicant must live in a county served by IU Health Bloomington Hospital.

City *

State *

Zip Code *

Program Status *

Enrolled in accredited healthcare program

By checking this box, I certify that I am currently enrolled in an accredited program of study in a healthcare field.

Acceptance Documentation *

Maximum file size: 10 MB

Please include documentation of acceptance into the chosen program and a copy of grades to date (due to cost, this does not need to be official transcripts).

Personal Statement *

Please provide a personal statement describing your financial need, work and volunteer experience, goals for the future, and why you chose healthcare as your profession.

Scholarship Application

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