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 participate in the Health Careers Scholarship Mentorship Program. Note: If you are applying through University of Pacific - Thomas J. Long School of Pharmacy, Physician's Assistant Program, or California State University - Stanislaus School of Nursing, please apply using your school's scholarship application process.
HPSJ Award Amount: $3,000 per student
Deadlines: Final application submission: Friday, May 31, 2024. Letters of Recommendation: Friday, June 7, 2024.

APPLICATION FOR SCHOLARSHIP

General First Year Application for graduating high school seniors / 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
Name of high school or program you are attending

Anticipated Year of Graduation
Please enter the date as MM/DD/YYYY.

If applicable, please provide the date on which you will complete or graduate from your current school/program
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) Your work experience
4) Your health-related community service experience
5) Honors or awards you have received
6) Who or what experience has been the greatest influence in your decision to pursue a career in the healthcare field
7) Obstacles you have overcome and how
8) Your current financial need

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 email the letter of recommendation to scholarships@hpsj.com no later than Friday, June 7, 2024.

Click Here To View and Download The Recommendation Guidelines.

If you have questions or need assistance, contact Julia Valdez at jvaldez@hpsj.com or call 209-461-2329.
Step 5 - Required Attachments & Documents
Required Attachments:
1. Official Transcripts
2. Recent Completed Personal Statements
3. Signed Photo Release (Photo Release Form)
4. Two (2) Current Letters of Recommendation (Guidelines For Recommendation Letter)
5. Recent Professional Photo
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 209-461-2329.

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. Signed Photo Release (Photo Release Form) 4. Two (2) Current Letters of Recommendation (Guidelines For Recommendation Letter) 5. Recent Professional Photo

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. Signed Photo Release (Photo Release Form)
4. Two (2) Current Letters of Recommendation (Guidelines For Recommendation Letter)
5. Recent Professional Photo