HPSJ Scholarship Application

Health Plan of San Joaquin (HPSJ) seeks to award the Health Careers Scholarship to graduating high school seniors who plan to pursue a healthcare or medical career at an accredited four-year college or university, demonstrate an interest in community health, intend to practice in the Central Valley and demonstrate financial need.

Applicant Requirements: Must be a graduating senior at a local high school in San Joaquin or Stanislaus County. Must be enrolled in a participating school program. Must participate in the Health Careers Scholarship Mentorship Program.
HPSJ Award Amount: $3,000 per student
Number of HPSJ Awards Available: 2

APPLICATION FOR SCHOLARSHIP

Grace M. Davis H.S. Health Careers Academy / Health Plan of San Joaquin
SCHOLARSHIP APPLICANT AND PARENT(S)/GUARDIAN

This is a voluntary and confidential scholarship application form to be used by the scholarship committee. All applicants must have been a participant enrolled in a participating school program. In order to fully understand the applicant’s need and to make equitable choices of scholarship recipients, the information should be completed accurately. (All responses must be typed).

Step 1 - Personal Information
Name required.

Name
Current GPA required. Enter Current GPA as 4.0.

Current GPA
High School Attended required.

High School Attended

Anticipated Year of Graduation
Planned Health Career required.

Planned Health Career
* Top 3 colleges to which you have applied:
Email Address required. Please enter a valid Email Addresss.

Email Address
Phone Number required.

Phone Number
Date of Birth required. Enter Date of Birth as MM/DD/YYYY

Date of Birth
Place of Birth required.

Place of Birth
Street Address required. City required. Zip Code required.

Permanent Mailing Address (Home residence, P.O. Box, etc.)

Street Address
City State

ZIP Code
Current Home Address (if different from permanent mailing address)

Street Address City State ZIP Code
Are you a current HPSJ member? (optional)
For more information about additional sources of financial aid, please see the HPSJ Health Careers Scholarship Program FAQ.
Ethnicity (optional)

Other Ethnicity
Step 2 - Family Information
Estimated Annual Family Income:
* Names of the People in Your Household and Their Relationship to You (or n/a if Not Applicable)
Number of siblings attending college in 2024:
* Name of Sibling, Institution, and Years Completed (or n/a if Not Applicable)
Step 3 - Activities Resume

Please answer each of the following questions using a maximum of 500 characters. For each section, describe your three (3) most recent activities.
* Work Experience
* Sports
* Clubs
* Community Service
* Honors, Awards and Certifications
Step 4 - Personal Statements

Please answer each of the following questions using a maximum of 500 characters.
* 1. Why do you want to be a medical professional and what have you done to explore this career?
* 2. Do you intend to practice in San Joaquin or Stanislaus, if so why?
* 3. What is a major healthcare concern in your community and how do you plan to impact change in your county?
Personal Statement

Please answer the following question using a maximum three (3) pages, typed. Develop a personal statement telling the scholarship committee about:

1) Yourself
2) Your goals for the future
3) Obstacles you have overcome and how
4) Your health-related community service experience
5) Who or what experience has been the greatest influence in your decision to pursue a career in the healthcare field?

Please attach your personal statement to your application.
Letters of Recommendation

Provide the letter of recommendation template to two (2) individuals who are familiar with your current character, professional interests and involvement in the community. Please advise your recommenders to send, email or hand deliver the letter of recommendation to:

Health Plan of San Joaquin
Attn: Marketing Department, Health Careers Scholarship Program
7751 S. Manthey Road
French Camp, CA 95231
scholarships@hpsj.com

Click Here To View and Download The Recommendation Guidelines
Step 5 - Required Attachments & Documents
Required Attachments:
1. Official Transcripts
2. Recent Completed Personal Statements
3. Two (2) Current Letters of Recommendation
4. Guidelines For Recommendation Letter
Upload your documents here
Step 6 - Review and Sign
I certify that all of the information in this application is valid and accurate.

I further certify that I have read the Mentorship Information Sheet and consent to participate in the Mentorship Program, if I accept the Health Careers Scholarship.

Electronic signature required. Signature date required. Date format MM/DD/YYYY.

Student e-Signature Date

Date format MM/DD/YYYY.

Parent/Guardian e-Signature Date
For more information about the Health Careers Scholarship Program, please contact scholarships@hpsj.com, or call (209) 942-5297.

APPLICATION FOR SCHOLARSHIP

Step 1 - Personal Information

For more information about additional sources of financial aid, please see the HPSJ Health Careers Scholarship Program FAQ.

Step 2 - Family Information

Step 3 - Activities Resume

Please answer each of the following questions using a maximum of 500 characters. For each section, describe your three (3) most recent activities.

Step 4 - Personal Statements

Please answer each of the following questions using a maximum of 500 characters.

Personal Statement

Letters of Recommendation

Step 5 - Required Attachments & Documents

Required Attachments: 1. Official Transcripts 2. Recent Completed Personal Statements 3. Two (2) Current Letters of Recommendation 4. Guidelines For Recommendation Letter

Step 6 - Review and Sign

I certify that all of the information in this application is valid and accurate.

I further certify that I have read the Mentorship Information Sheet and consent to participate in the Mentorship Program, if I accept the Health Careers Scholarship.

Required Attachments:
1. Official Transcripts
2. Recent Completed Personal Statements
3. Two (2) Current Letters of Recommendation
4. Guidelines For Recommendation Letter