PrimaryPlus Family Member Scholarship Application

PrimaryPlus Family Member Scholarship Application

Carolyn Caseman Evans Memorial Scholarship
PrimaryPlus Family Member Scholarship Guidelines
PrimaryPlus is offering ONE $2,000 post-secondary education scholarship (college, university, technical school, etc.) to a high school senior in the following Kentucky counties: Lewis, Fleming, Mason, Greenup, Carter, Boyd, Bracken, Robertson, Rowan and also including Ripley-Union-Lewis-Huntington Schools in Ohio that is an immediate family member (child or granchild) of a PrimaryPlus employee. The scholarship program has been named in honor and memory of a great nurse, Carolyn Caseman Evans, who served the patients of PrimaryPlus with great integrity, compassion and a zest for her work. This program is designed to enhance the education and resulting medical careers of deserving students. Please read guidelines carefully as some may have changed.

Participation Requirements:

1)      Scholarship candidate must be from one of the counties/schools listed above.

2)      Applicant must be a current high school student planning to enroll in an educational or training program at an accredited college, university or technical school. Students applying for the PrimaryPlus scholarship should be planning to pursue a career in healthcare in some capacity.

3)      All applicants must agree to a personal interview with judges and to appear at a regular Board of Directors meeting of PrimaryPlus—if needed.

4)      The high school student MUST be a child (dependent living within the household) of an employee of PrimaryPlus.

5)      All applicants must complete a typed, minimum 500, not to exceed 1,000 word essay. The essay should explain your professional goals and objectives within that of the medical field. Clearly state in your essay the contributions you expect to make to the community and how this scholarship will help you achieve these goals.

6) All applicants must submit a copy of your high school transcript and or ACT/SAT scores.

7) All applicants must submit 2 reference letters.

Limitations on Candidate, Study Discipline and Educational or Training Institution:

1)      Scholarship will be awarded for one (1) school year only. The time period generally accepted is August through May, spanning portions of two (2) calendar years.

2)      Scholarships will be paid directly to the applicant’s college, university or technical school of choice upon receipt of appropriate evidence that the applicant has been accepted and is enrolled as a full-time student. No money will be paid directly to the recipient.

3)      PrimaryPlus will retain unused scholarship funds. Unused funds may result if a recipient ceases to be a student.

4)      Scholarship will not be renewed under any circumstances. A single candidate can earn a maximum of one PrimaryPlus scholarship. Scholarships are not assignable.

5)      PrimaryPlus reserves the right to not issue a scholarship if the scholarship committee feels there is not a viable candidate.

General Selection Criteria:

1)      Eligibility determination.

2)      Grade Point Average

a. Curriculum will be considered as well as grades.

b. A copy of applicant’s transcript and ACT or SAT scores must be provided.

3)      School and community involvement.

4)      Financial need determination.

5)      Personal references.

6)      Interview with panel judges (if necessary).

7)      Essay.

Application Procedure and Dates:

Applications must be sumbitted by Wednesday, April 9th 2025

Part I. General Information
Name*

First NameLast Name
Email*
example@example.com
Social Security Number (needed to provide to college for payment, if awarded)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
PrimaryPlus Employee Name*

First NameLast Name
Your relationship to PrimaryPlus Employee*
High School Currently Attending*
College or University You Plan on Attending*
What will be your major area of study? Please be specific.*
Father's Name

First NameLast Name
Mother's Name

First NameLast Name
Parent's Occupations

Part II. Academic Information
What is your high school GPA?*
High School Class Rank?
What is your Composite ACT Score?*
What high school academic honors have you received?
Please attach a copy of your High School Transcript*

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Part III. Activities
List any school organizations or clubs to which you belong(ed). Indicate offices held, position of leadership, and activities in which you participate(d).
List church, civic or community activities.

Part IV. Financial Information
Since financial need is one factor in selecting the recipient of the PrimaryPlus Scholarship, the following information is critical to the selection committee in their deliberations. The information is strictly confidential and will only be reviewed by the members of the selection committee.
What are the expected education expenses for the next year?
Tuition:
Room & Board
Other:
Books, Personal
How is your education being financed?
Approximately what percent of your education expenses will be paid by your parents?

Part V. Personal References
Please attach 2 character reference letters with this application. References may not be relatives of the applicants.
Reference Letter #1*

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Reference Letter #2*

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Part VI. Essay
Please attach a typed essay (minimum of 500, not to exceed 1,000 words) explaining your professional goals and objectives. Please remember applicants MUST have career goals within the healthcare field to apply. Clearly state in your essay the contributions you expect to make to the community and how this scholarship will help you achieve these goals.
File Upload*

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I hereby certify that to the best of my knowledge the above information is correct and complete.
Applicant's Signature*

Clear
Parent's Signature

Clear
Date

MonthDayYear
Date
IMPORTANT: Applicant and a parent/guardian must sign the application. Applications without signatures will not be considered. Please make sure you have completed/included all parts of the scholarship application including a copy of high school transcript, ACT score, essay, and two reference letters. Applications must be submitted by Wednesday, April 9th 2025
Should be Empty:

PrimaryPlus Family Member Scholarship Application

PrimaryPlus Family Member Scholarship Guidelines

Since financial need is one factor in selecting the recipient of the PrimaryPlus Scholarship, the following information is critical to the selection committee in their deliberations. The information is strictly confidential and will only be reviewed by the members of the selection committee.

What are the expected education expenses for the next year?

Please attach 2 character reference letters with this application. References may not be relatives of the applicants.

I hereby certify that to the best of my knowledge the above information is correct and complete.