Form Opens November 15, 2023. Submission Deadline is February 1, 2024.

READ the Scholarship Application Process for all Instructions and Directions.

2024 Scholarship Application

You must be a secondary senior or any post-secondary student who plans to continue or further his/her education in the healthcare field to apply for this scholarship.

Name(Required)

Your local HOSA Chapter(Required)

PERSONAL Email Address(Required)

Enter Email Confirm Email

Phone Number(Required)

Your Current Age(Required)

Your Curent Grade/Year(Required)

What division are you?(Required)

Your Career Goal(Required)

Have you been accepted to a postsecondary or collegiate program to pursue your education as of this submission(Required)

Yes

Upload a PDF of "What characteristics, abilities & experiences have you obtained making you believe you are a good choice for a state officer"(Required)

PDF format ONLY. See the Scholarship Application Process for instructions to ensure your upload is correctly formatted Your Name and title of the document should be on each document

Drop files here or

Accepted file types: pdf, Max. file size: 20 MB, Max. files: 2.

Upload a PDF of "Describing your participation in your local chapter. How long have you been in HOSA? Your leadership role(s). Any Activities you participated in with HOSA".(Required)

PDF format ONLY. See the Scholarship Application Process for instructions to ensure your upload is correctly formatted Your Name and title of the document should be on each document

Drop files here or

Accepted file types: pdf, Max. file size: 20 MB, Max. files: 2.

Upload a PDF of What Health Science Class(es) you are currently enrolled? What other Health Science classes have you taken in the past?(Required)

PDF format ONLY. See the Scholarship Application Process for instructions to ensure your upload is correctly formatted Your Name and title of the document should be on each document

Drop files here or

Accepted file types: pdf, Max. file size: 20 MB, Max. files: 2.

Upload a PDF listing your Recognition Awards, Honors or Educational Societies indicating the qyaliuty of your academic performance/leadership OUTSIDE of HOSA. Provide a clear written statement of your leadership, responsibility and commitment for each.(Required)

PDF format ONLY. See the Scholarship Application Process for instructions to ensure your upload is correctly formatted Your Name and title of the document should be on each document

Drop files here or

Accepted file types: pdf, Max. file size: 20 MB, Max. files: 2.

Upload a copy of your Transcript(Required)

Official and unofficial copies will be accepted. PDF Format ONLY.

Drop files here or

Accepted file types: pdf, Max. file size: 10 MB, Max. files: 5.

Personal Statement(Required)

Your PDF upload should be formatted correctly. Your Name and title of the document should be on the upload PDF document- ONLY PDF format will be accepted.

Drop files here or

Accepted file types: pdf, Max. file size: 10 MB, Max. files: 3.

Type the person's name agreeing to the above statement(Required)