Auxiliary Scholarship


Crawford County Memorial Hospital Auxiliary Scholarship Application

This scholarship application is intended for first or second year college students who will, or are, pursuing a career in a healthcare field.

If you prefer to have a copy of the application emailed to you, please fill out the form to the right making sure you include your email address.

Submission Deadline: March 1

CCMH Auxiliary Scholarship

Auxiliary Scholarship Application


Part I. General Information

Please provide your contact information.

Pat II. Academic Information

Please provide the following information on your educational status.
Max. file size: 512 MB.

Part III. Activities/Leadership/Volunteer Work

List any organizations or extracurricular activities that involve you. Describe any leadership roles which you have experienced. What volunteer work have you done, besides that which may be a requirement of one of your school classes?

Part IV. Financial Information

Since financial need is one factor in selecting the recipient of a CCMH Auxiliary Scholarship, the following information is critical to the selection committee for their deliberations. This information will be strictly confidential and is reviewed only by the members of the Auxiliary Scholarship Selection Committee.
Max. file size: 512 MB.

Part V: Career Plans

Max. file size: 512 MB.

Part VI: Financial Agreement and Signature

If I am awarded a scholarship by the Crawford County Memorial Hospital Auxiliary, it is my intention to complete the health career program that I have described and to serve as a member of the profession for which I am preparing myself. I also agree to inform the Auxiliary of any decision to discontinue my education in any health career, and I agree to repay the scholarship funds within six months from the date of my withdrawal.

Application Deadline: March 1 of each year

Please make sure you have attached your school transcript, one letter of recommendation, and the FAFSA summary page which shows the EFC. Once you submit the application, it will be forwarded to the CCMH Auxiliary Scholarship Committee for their review. Scholarship applicants will be notified of the status of their application no later than May 25.

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Call us at 712.265.2500 or fill out the form below.

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This contact form is designed for general inquiries and not intended for urgent matters or medical advice. If you are seeking answers to a medical question, please contact your medical provider or call the hospital operator at 712.265.2500