Auxiliary Seeding Student Education and Training Scholarship for Children of Genesis Employees Application

Genesis Health Services Foundation

ASSET Scholarship for Children of Genesis Employees

Award

$1000 scholarship for tuition or fees incurred in the pursuit of two or four year undergraduate degree in healthcare, wellness, science, technology or related fields.

Eligibility and Requirements

Click here to read the Eligibility Requirements and Terms of Scholarship.

 

* - indicates a required field

 

 

Parent (Qualified Genesis Employee) Information
Last Name:* 
First Name:* 
Middle Initial:* 
Employee ID:* 
Number of years with Genesis:*
Department: *
Position:* 
Manager/Supervisor Name:* 
Entity:* 
Student Information
Last Name:* 
First Name:* 
Middle Initial:* 
Address:* 
City:* 
State:* 
Zip Code:* 
Home Phone:* 
Cell Phone: 
E-mail Address:* 
High School Information
School Name:* 
Address:* 
City:* 
State:* 
Zip Code:* 
GPA:* 
College or University Information
College/University Name:* 
Address:* 
City:* 
State:* 
Zip Code:* 
GPA:* 
Major:* 
Year in School:* 
Anticipated Date of Graduation:* 
Extracurricular and Volunteer Activities
The Genesis Values are safety, integrity, compassion, accountability, respect and excellence. Which one of these values would you consider most important for success in your education journey and why?
Describe an important volunteer activity that you were engaged in during the last year, and briefly explain how this activity influenced you and others.
Essay
Please write an essay describing how you pursue health and wellness in your life and how you intend to positively impact the health and well-being of others in the future. (500-600 words)
The following must be submitted separately to scholarships@genesishealth.com
  • High School Transcript
  • Two letters of recommendation (from non-relatives)
  • College transcript or letter of acceptance

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1227 E. Rusholme Street Davenport, IA 52803 563-421-1000