Application for Auxiliary Scholarship

Grand View Health > Volunteering > Grand View Auxiliary > Application for Auxiliary Scholarship

Please attach a copy of your transcript at the bottom of the form. Unofficial transcripts are acceptable. Applications without transcripts will not be considered.

*Indicates required information

Name * Required
Position Title * Required
Address * Required
Phone * Required
Email * Required
Department * Required
Employment Status * Required
- Full Time
- Part Time
- Specialty Weekend
Marital Status * Required
Dependents * Required
- Yes
- No
If you checked "yes" for dependents, what are their ages? * Required
Name of College * Required
Address of college * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Major * Required
Cost per credit hour * Required
Number of credit hours per semester * Required
Have you applied for any other educational loans or assistance - government or other? * Required
- Yes
- No
If you checked "yes" for educational loans - from whom and how much? * Required
If you checked "yes" for educational loans - has the loan been approved? * Required
- Yes
- No
- Not Applicable
State your plans for furthering your education including a projected date for graduating * Required
List courses you have already taken including grades * Required
Transcript * Required
Drop files here or
Please attach a copy of your transcript here. Unofficial transcripts are acceptable.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

About Us

Grand View Health

Grand View Health Main Campus
700 Lawn Avenue
Sellersville, PA 18960
215-453-4000
215-453-4100
Get Directions
Contact Us

I Want To...

Schedule an Outpatient Test
Pay My Bill Online
Obtain a Sponsorship
Subscribe to Health-E News
Volunteer

Explore

Careers
About Us
Grand View Auxiliary
Safe Haven for Newborns
Grand View Medical Company
Charge Transparency
Patient Stories
GVH Children’s Center
Healthcare Partnerships
Publications
Corner Cupboard Gift Shop
Recovery Room Thrift Shop

Sitemap
Privacy Policy
Legal Notices & Disclaimer
HIPAA Privacy
Notice of Nondiscrimination

Sign up for the latest news and updates from Grand View Health

First Name *

Last Name *

Email *

Zip Code *

Example: Yes, I would like to receive emails from Grand View Health. (You can unsubscribe anytime)

Constant Contact Use.

_{By submitting this form, you are consenting to receive marketing emails from: Grand View Health, 700 Lawn Avenue, Sellersville, PA, 18960, http://www.gvh.org. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact}