Scholarships — GCH Foundation

Medical Explorers Program Scholarship

The Medical Explorers is an exciting program that gives high school students an up-close, hands-on opportunity to learn more about careers in the medical field.

Learn more about Medical Explorers

Medical Explorers Scholarship Application

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

High School Name

Field of Interest

Grade

Why are you interested in the Medical Explorers Program?

List one name of reference & their contact information

Name

First Name

Last Name

Phone

(###)

###

####

Amount of Scholarship: $35.00

Amount owed from the applicant: $10.00

I agree to take part in the Medical Explorers Program:

Signature:

Type name here:

Date

MM

DD

YYYY

Medical Explorers Program Scholarship

Geary Community Healthcare Foundation

Tracy Geisler

Geary Community Healthcare Foundation

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