Application

Please email foundation@northmemorial.com with any questions.

To complete your application, please send the Junior Volunteer Scholarship Application Recommendation form Opens in new window to two individuals to request recommendations. They should include one teacher and one non-academic/non-relative reference.

Part I: Application Form

Name(Required)

First Middle (optional) Last

Pronouns

Age(Required)

Phone(Required)

Personal Email(Required)

Academic Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Volunteer Location(Required)

North Memorial Health – Maple Grove Hospital

North Memorial Health – Robbinsdale Hospital

High School(Required)

Date of Graduation(Required)

MM slash DD slash YYYY

Which post high school education program or institution do you plan to attend? If you are undecided, where have you applied?(Required)

What do you plan to study?(Required)

Part II: Essays

These will be judged on content and grammar.

Please describe your volunteer experience at North – Maple Grove Hospital or North – Robbinsdale Hospital. What made you choose to volunteer with us?(Required)

400 word limit

In what ways do you contribute to your community?(Required)

400 word limit

In what ways do you feel this volunteer experience will impact your career moving forward?(Required)

400 word limit

If you did not complete 100 volunteer hours, please answer the following question. If you completed 100 hours, please leave this question blank.

Although you have not met the hour requirement, what actions, experiences, or qualities demonstrate your dedication to the healthcare field? 400 word limit

Part III: School Transcripts

Please upload a copy of your school transcripts.(Required)

Max. file size: 100 MB.

Part IV: Signatures

Student Signature(Required)

By electronically signing my name, I agree that the information included in this application is true to the best of my knowledge.

Your Name(Required)

Parent or Guardian Consent(Required)

I give my consent for the student listed above to apply for this scholarship from the North Memorial Health Foundation.

Parent or Guardian Name(Required)

This is to be completed by your parent or guardian.

Email

This field is for validation purposes and should be left unchanged.

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