Senior Scholarship | Molalla, Oregon | Apply Here!

Your name (high school senior applicant):*
Your email:*
Your phone:*
Please describe your work, community, sports, school, and any other extracurricular activities in which you participate:*
Please share your essay on “how the community has been integral part of your life and how you plan to stay involved through college and life”:*
Please share your career goals:*
Please share a hardship you have overcome in life:*
Reference #1: Name*
First Last
Reference #1: Phone*
Reference #1: Email*
Reference #2: Name*
First Last
Reference #2: Phone*
Reference #2: Email*
Reference #3: Name*
First Last
Reference #3: Phone*
Reference #3: Email*
Name
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Program timeline -

Two $1,000 scholarships will be given annually, preference given to patients of record but all local high school seniors encouraged to apply.
High school senior must apply.
If there are additional funds, we would go outside of our patient base to award another recipient.
The recipient(s) must exhibit community leadership and the “give back” spirit.
Awardee will be announced on social media.