Scholarship Application

HealthCare Talent Scholarship Program

1. Scholarship applications are accepted on an ongoing basis.
2. Must be a legal resident of Southern California.
3. Refer to application process below for a list of the supporting documents required. Incomplete applications will not be considered.
4. If a question does not apply to you in this application, please put N/A in the space.
5. Type or print legibly; illegible applications will be returned to you. You may also download a copy of the application online at www.healthcaretalent.net
6. You will be notified by email regarding the status of your application.
7. If you have any questions about the application, please email: scholarships@healthcaretalent.net.

Purpose: To provide scholarships to deserving Southern California residents interested in, or intending to, pursue a training program to earn a credential as a healthcare professional.

Award Components: Training scholarships are awarded to one or more applicants selected by the HealthCare Talent Scholarship Committee.

Criteria:

1. Be a high school graduate and 18 years or older.
2. Eligible to work in the US.
3. Demonstrated financial need - indicated in 4 - 12 sentences.
4. Written explanation of career goals - indicated in 4 - 12 sentences.
5. Desire and ability to work with the undeserved in the community, or volunteer work in the local community - indicated in 4 - 12 sentences.
6. Letters of Acceptance from desired education center or training school
7. Two (2) letters of recommendation from your choice of the following: teacher/college professor, employer, or individual(s) with significant knowledge of the applicants experience and involvement.
8. A personal interview with HealthCare Talent's One Placement - One Scholarship committee.

Application Process

Applicant must submit the following items:

1. Completed application forms (please print legibly or type).
2. Letter of goals and intent addressed to the Scholarship Committee. The letter should contain a brief explanation of career goals and biographical (background) information.
3. Two (2) letters of recommendations from your choice of the following: high school teachers/college professors, administrators, counselors, employers, or individual(s) with significant knowledge of the applicant’s experience and involvement.

Please mail completed application to:

HealthCare Talent Scholarship Program
HealthCare Talent
26090 Towne Centre Drive
Lake Forest, CA 92610

or fill out the form below:

Your Name
First Last
Address*
Street Address City State ZIP Code
Your Email*
Daytime Phone Number*
What Healthcare training/credential program are you interested in applying for:
- MA
- CN A
- Home Health Aid
- Caregiver
- Certified Medical Coder
- Other
Availability
- Days
- Evenings
- Weekends Only
Employment
Current Employer
Address
Your Position
Dates (from - to)
Phone Number
Previous Employer
Address
Your Position
Dates (from - to)
Phone Number
Past Employer
Address
Your Position
Dates (from - to)
Phone Number
Personal References
Name
First Last
Address
Street Address City State ZIP Code
Phone
Name
First Last
Address
Street Address City State ZIP Code
Phone
Name
First Last
Address
Street Address City State ZIP Code
Phone
Education
High School Attended
City & State
Diploma or GED?
List the names of any College(s) you have attended
College 1
Dates attended (from - to)
Degree earned (if any)
College 2
Dates attended (from - to)
Degree earned (if any)
College 3
Dates attended (from - to)
Degree earned (if any)
Other Professional Training
List your academic honors, awards and membership activities while in High School or College
List your community service activities, hobbies, outside interests, and extracurricular activities
What have you accomplished in your life that has made a difference in the lives of others?
What are your long-term career goals? (Example: Ten years from now…)?
What unique circumstances make you an ideal scholarship candidate compared to other applicants?
Please list the names of individuals you are responsible for financially and your relationship to them:
Dependents / Relationship
Upload Letters of Recommendation
Please upload two (2) letters of recommendations from your choice of the following: high school teachers/college professors, administrators, counselors, employers, or individual(s) with significant knowledge of the applicant’s experience and involvement.
Letter 1
Letter 2
Statement of Accuracy
I hereby affirm that all of the above stated information provided by me is true and correct to the best of my knowledge. I also give my consent to using my photograph for any purpose deemed necessary to promote the scholarship program. I hereby understand that if chosen as a scholarship winner, I must maintain good standing and if I withdraw from the program all funds shall be returned to the East LA Skills Center.
Type Your Name to Agree
Today's Date
Date Format: MM slash DD slash YYYY
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HealthCare Talent Scholarship Program

Application Process

Please mail completed application to:

Employment

Personal References

Education

List the names of any College(s) you have attended

Please list the names of individuals you are responsible for financially and your relationship to them:

Upload Letters of Recommendation

Statement of Accuracy