Apply for a Scholarship

HEALTH PROFESSION SCHOLARSHIP APPLICATION for 2017-2018 school year

Please read each section carefully, complete all fields, and click “Submit” at the end of the application. Form must be submitted electronically.

This is a:


Section 1: Personal Information

















Section 2: Academic Information

Provide information on the health profession-related program in which you are, or will be, enrolled.


















Section 3: Health Profession Activities & Goals





Section 4: Parent/Guardian/Spouse Information
1st Parent/Guardian/Spouse













2nd Parent/Guardian/Spouse













3rd Parent/Guardian/Spouse













4th Parent/Guardian/Spouse













Section 5: Essay



Section 6: Required Documents

Email to lmann@christieclinic.com or upload the documents here (jpg, jpeg, png, or pdfs accepted).

Evidence of college enrollment/acceptance or your probable enrollment plans (required for new applicants and those changing schools or academic programs only).



An official transcript of your most recent academic experience.



Printout or photocopy of SAT or ACT score report (High school seniors only. Note: you are not required to pay to have the official report sent to us).



Section 7: Consent and Certification

I have read the instructions and certify that the above information is correct and complete. I understand that in the event I do not complete the academic year for which an award is given, or I cease to be enrolled full time while an award is in effect, I will be required to refund the grant award in full. I also understand that typing my name below will be considered my electronic signature.





Your name will be published online and in your local newspaper if you are a recipient of the Christie Foundation Health Profession Scholarship. Type your name below if you DO NOT WANT your name published.





Application Due Date: MARCH 31, 2017

Application materials submitted electronically or postmarked after this date will not be considered. You will be sent a confirmation via email once all of your application materials have been received. All applicants will be notified of the committee’s decision no later than April 30, 2017 and recipients will be invited to a reception to be held in mid-May.

May we contact you in the future about Christie Foundation events and opportunities?