2019 Auxiliary Scholarship Form

2018 Auxiliary High School Scholarship Application

  NameDate of Birth  PhoneAddress Email City, State, Zip High School Parent or Guardian's NamesGPA Class RankSchool Activities Please list your volunteer service at JRMC Community Activities Special Awards or Honors You Have ReceivedDiscuss Your Future Plans to Pursue a Health Care Education and Career AND Why You Deserve This Scholarship (200 words or less) Please submit your application below then email a letter of recommendation from a teacher or school counselor to JRMC_Foundation@unitypoint.org by Friday, April 5, 2019