Dallas County Hospital Foundation

Dallas County Hospital Foundation


High School Level Scholarship Criteria

Scholarships of $500 to $1,000 are awarded to seniors who attend high schools throughout Dallas County or reside in Dallas County and plan to enter the health care field or related curriculum.

The following will be considered of each applicant:

Going into health care field or related curriculum. No exceptions.

Grade point average and/or class standing.

Student’s prior involvement in career selection.

Counselor’s comments.

A single letter of recommendation from someone other than your school counselor.

Student’s extra activities.

Volunteer Hours - A minimum of 20 volunteer hours must be completed before application is submitted. (Healthcare volunteering hours are strongly preferred, but not required).

Applications must be postmarked by april 15, 2014. No applications postmarked after that time will be accepted.

Selected applicants will be asked to provide the committee proof of enrollment or registration to the college for finalization of scholarship.


“Providing philanthropic support of Dallas County Hospital's mission to
improve the health of the people we serve.”

610 10th Street, Perry, Iowa50220

Application for Health Field Scholarship


Last First Middle

Address: City/State/Zip: Phone:

Name of school you have chosen for post-high school education:


Anticipated Major:

  1. Tell us about your career selection? Why have you chosen this path?
  1. Where do you see yourself in 10 years? 20 years?
  1. Please list below any scholarships or grants received, include amounts of each.
  1. List any scholastic honors or awards you have received in grades 9-12:
  1. Tell us about your extracurricular activities and accomplishments (include information on any elected offices held, hobbies, sports you are involved in, etc.)
  1. How many total volunteer hours do you have? Please describe your volunteering activities and how they have impacted you.
  1. Describe any paying jobs you have held.
  1. Is there anything else I should know about you?


Below information to be completed by school counselor:

Expand on why you feel this career path fits this student:

Level difficulty of classes taken throughout high school:

Name of high school:

Applicant presently ranks in a class of .

with grade point average of out of

and an ACT score of

Date of awards ceremony:

Signature of Guidance Counselor

Applications must be postmarked by April 15, 2014and should be returned to:

DallasCountyHospital Foundation, Inc.

Attn: Jenny Hornsby

610 10th Street

Perry, IA50220.