Scholarship Application 2020 – High School Student

  • Date Format: MM slash DD slash YYYY
  • Name:College: 
  • NameCity/StateApplied or Accepted 
  • Organization NameContact PersonContact Phone NumberDuties & Tasks CompletedHours WorkedFrequency of Occurrence 
    Report only Organizations that you donated 10 hours or more to.
  • Company/Organization NameContact PersonPhone NumberJob Title - DutiesLength of Employment 
  • All Scholarship Applications must be completed and submitted to the Mercyhealth Volunteer Office by February 28, 2020 at 4:00pm. No late or incomplete submissions will be accepted.
  • This field is for validation purposes and should be left unchanged.
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