Printable Information Form
This General Information Sheet (PDF format) is designed for distribution to students, financial aid departments and other parties who may know of students interested in applying for this scholarship. Please feel free to download and print to pass along information regarding the Scholarship Program.Download Form
Financial Aid Form
All students applying for a Scholarship Award must also have the Financial Aid Form (PDF format) completed by their Financial Aid Advisor. Once you have submitted your application, please print this form and have the completed version returned to Gallagher Koster, along with your transcripts and letters of recommendation, as indicated.Download Form
Scholarship Information Flyer
If you are a college/university administrator and would like to display or distribute information on campus, you can download a printable flyer.Download Form
Scholarship Information Packet
Download the informational flyer, information form and financial aid form in one PDF file (Information Packet).Download Form
Our forms are in PDF format. In order to read and print your these forms, you will need to have Adobe Reader downloaded and installed on your computer first. You may click on the image below to download Adobe Reader.
The Application Period for the 2016 Health Careers Scholarship Program is now CLOSED (as of 5/7/2016).
Notify Me When the 2017 Scholarship Application is Released: