Virgie Hegg Hospice Partners, Inc. 2010 Scholarship Application (High School Students) This application must be returned to Virgie Hegg Hospice Partners, Inc. by April 12, 2010. (Received in our post office box by the deadline.) Please submit the completed form with: (1) A cover letter describing your educational plans and philosophy, and (2) 2 adult letters of recommendation: VHHP Scholarships P.O. Box 244 Cook, MN 55723 Students Name: ________________________________________________________ Student's Address & City: ________________________________________________ Phone Number & e-mail Address: ________________________________________________ Parent or Guardian's Name: ______________________________________________ Name of High School: ___________________________________________________ Sciences taken during the Junior and Senior years: _________________________ ________________________________________________________________________ Electives taken during the Junior and Senior years: _________________________ ________________________________________________________________________ Proposed college: ________________________________________________________ Proposed major: _________________________________________________________ Recommendation letters enclosed: _______________________________________ Student's Signature: ___________________________________ Date: __________ (The box below is to be completed by a high school counselor) Scholastic grade point average: _____________________________ Counselor's Verification of the above information Signature: __________________________________ Date: ______________ Two scholarships in the amount of $500.00 will be awarded to a graduating high school senior from Cook High School and Orr High School. Scholarship certificates will be awarded at Awards Day in May, 2010. Scholarship funds are disbursed from VHHP when students submit a first semester college transcript. College G.P.A.'s must confirm successful course completions toward a degree in the human medical field (veterinary medicine or research does not qualify).