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The Rivers Health Scholarship Foundation is a truly community-based endeavor, organized in 1985 under the leadership of Point Pleasant businessman and civic leader Vitus Hartley Jr.

Apply for the Rivers Health Scholarship Today!

Name(Required)

First Middle Last

Are you over the age of 18?(Required)

I verify that I am 18 or older

I am not yet 18

Date of Birth(Required)

Date of High School Graduation(Required)

Your Address(Required)

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

Email(Required)

Cell Phone (so we can call or text you)(Required)

Parents/Guardian (optional for applicants over age 18):

Full Name of Legal Guardian(Required)

First Last

Address of Legal Guardian(Required)

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

Occupation of Legal Guardian(Required)

I understand the following(Required)

Scholarship — Recipients are provided scholarship amounts on a year-by-year basis. Recipients may apply in subsequent years for additional funds and applications will be considered by the Foundation on a year-by-year basis. A full application will be required each year.

My commitment

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My commitment

List of college(s) or university(ies) where you have applied and/or been accepted. Please include a copy of letter of acceptance from those schools to which you have been accepted.(Required)

Upload a Copy (PDF or Photograph) of Your Acceptance Letter(Required)

Drop files here or

Max. file size: 256 MB, Max. files: 10.

Define Your Healthcare Program of Study (i.e. PT, OT, Medicine, Nursing):(Required)

Anticipated Date of Graduation from Your Healthcare Program:(Required)

Have you applied for, or are you receiving assistance from, another scholarship or loan?(Required)

Yes

If yes, please list with amount(s) and provide details about your other scholarships.(Required)

I have requested reference letters from the following individuals:

Name(Required)

First Last

Address(Required)

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

Phone(Required)

Upload a PDF or Photograph of Your Letter From Person 1(Required)

Max. file size: 256 MB.

Name(Required)

First Last

Address(Required)

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

Phone(Required)

Upload a PDF or Photograph of Your Letter From Person 2(Required)

Max. file size: 256 MB.

List the Degrees You Have Earned: Please list the type of degree, name of school, and year completed (Example: High School Diploma, Point Pleasant High School, 1992)

Schools Attended

Transcript: Please post your most recent transcript.

Upload Your Last School Transcript

Max. file size: 256 MB.

High School Grade Point Average:(Required)

On what scale?(Required)

Indicate below your participation in school activities (such as student government, school clubs, newspaper or yearbook, band or choir, speech, athletics, cheerleading, as well as honors, awards and special achievements):(Required)

Indicate below your participation in community activities (such as board membership, scouting, civic clubs or organizations, church and volunteer work):(Required)

Indicate below your work experience:

Business

Position

Years

Business

Position

Years

Business

Position

Years

Help the Selection Committee get to know you better. In your own words, please tell us why you wish to pursue a career in the field of health care, and why you are applying for this scholarship. Limit 400 words.

Write Essay Here (400 Words)(Required)

It is the policy of the Pleasant Valley Hospital Health Foundation, Inc. (DBA Rivers Health Scholarship Foundation), to provide equal opportunities to all prospective scholarship recipients on the basis of individual qualifications and merit without regard to race, sex, religion, age, handicap or national origin. Further, Pleasant Valley Hospital (DBA Rivers Health) will not discriminate against any applicant or employee, either in hiring, promotion, assigning, or in any other term or condition of employment, because of race, age, color, national origin, religious belief, sex, marital status or handicap. I/We certify that the information in this application is true and correct. I/We hereby authorize the Rivers Health Scholarship Foundation to obtain personal and academic information concerning this application from school(s) and references. I understand that this information may be kept confidential from me as well as the public, and I waive the rights of access that I may have by law. I further agree that, should I be awarded a grant-in-aid loan or scholarship, the Rivers Health Scholarship Foundation may use my name and information provided in this application in news releases and other forms of information about the Rivers Health Scholarship Foundation program.

Applicant's Signature(Required)

Date(Required)

Parent or Guardian Signature (if applicant is under 18)(Required)

Date(Required)

Apply for the Rivers Health Scholarship Today!

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