Foundation of CCMS Healthcare Scholarship Application (2026)

As part of our mission, the Foundation of Collier County Medical Society has enacted a program to facilitate the award of scholarships to high-achieving students who are pursuing degrees in healthcare. To be considered for a scholarship, students must meet the following qualifications:

Be a bona fide resident of Florida for at least 12 months prior to enrollment as student pursuing an education in healthcare (not including time spent attending an undergraduate/graduate school in Florida).
Be enrolled in or have been accepted to a healthcare degree program at an accredited institution (such as RN, MD, DO, PA, OT, etc.).
Have sustained an overall GPA the equivalent of 3.5, on a non-weighted 4.0 scale, for at least 12 months in the most recent year of full-time enrollment in an accredited institution (regardless of the program of study); if applicant was enrolled in less than 15 credit hours per semester in the academic year prior to the year of application, the applicant must have sustained the requisite GPA for at least 2 prior years of schooling.

To apply for the scholarship, students must submit the following:

Completed application as provided by the Foundation, including official school transcripts.
At least 2 letters of recommendation from persons other than family members, documenting applicant’s integrity, interpersonal skills, and potential as a future member of a healthcare profession.
A letter on school letterhead from an accredited institution verifying that applicant has been accepted for enrollment or is actively enrolled in a healthcare program.
A personal statement describing the person or event that most influenced the applicant to become a healthcare professional and describing how the applicant envisions leading others in the profession.

Scholarship recipients are selected by the Foundation Board upon review of the application and supporting materials. The dollar amount of scholarship(s) may vary dependent upon available Foundation funds.

Personal Information

Applicant's Name:*

Current Home Address:*

Street Address

Street Address Line 2

CityState

Postal / Zip Code

Cell Phone:*

Email Address:*

example@example.com

Date of Birth:*

Date

Permanent Resident of Florida:*

YesNo

Education

High School

School Name:*

Location (city, state):*

Year graduated:*

GPA:*

SAT Score - Verbal:

SAT Score - Math:

ACT Scores:

Class Rank:*

Percentile %:*

Class Size:*

Academic Honors, Athletic & Extracurricular Activities, Clubs, Offices Held, Research Projects, Publications:

Post-Secondary Education

Status:*

Enrolled inAccepted to

School Name:*

Location (city/state):*

Year Graduated/Expected:*

Degree:*

Major/Minor:

Student ID:

GPA:

Academic Honors, Athletic & Extracurricular Activities, Clubs, Offices Held, Research Projects, Publications:

Additional Post-Secondary Education (if applicable)

Status:

Enrolled inAccepted to

School Name:

Location (city/state):

Expected Grad. Year:

Degree:

Major/Minor:

Student ID:

GPA:

Academic Honors, Athletic & Extracurricular Activities, Clubs, Offices Held, Research Projects, Publications:

Community Service/Volunteer Work

Organization:

Location (city/state):

Time Frame:

Approximate Number of Hours Contributed:

Description of work provided:

Organization:

Location (city/state):

Time Frame:

Approximate Number of Hours Contributed:

Description of work provided:

Organization:

Location (city/state):

Time Frame:

Approximate Number of Hours Contributed:

Description of work provided:

Financial Information

The following information is to be completed if consideration is desired on the basis of financial need.

Scholarships or awards student has/most likely will receive (including Florida Bright Futures):

FAFSA for Federal Grant Filed:

YesNo

Marital Status:

MarriedDivorced/SeparatedSingleOther

Number of Student’s Dependents under 18:

Employment Status:

Full timePart timeSeasonal

Employer/Location:

Amount in Student’s Savings for Education: $

Current plans to finance education (Student loans, Florida Pre-pay), include any unusual circumstances:

Annual estimated cost of tuition: $

Other major educational expenses with amounts and explanations:

Signature of Applicant (type your full legal name):*

Date:*

Attachments

Personal Statement (max 800 words)*

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1. State why you merit consideration as an applicant for the scholarship. Describe the person or event that most influenced you to become a healthcare professional and how you see yourself leading others in the profession. You may wish to include educational goals, unusual circumstances regarding financial or personal situations, etc.

2. Discuss your connections (if any) to Collier County.

3. Optional: Have you had to overcome any extreme adversity in your life or pursuit of an education? List any reasons this may help the scholarship committee in their decision.

Letter of Recommendation 1 *

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Letter of Recommendation 2 *

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Current school transcript or final transcript from previous study (copy or unofficial transcript acceptable)*

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Letter on school letterhead from an accredited institution verifying that you have been accepted for enrollment in or are actively enrolled in a healthcare program.*

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CV/Resume or additional documentation, if desired

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Deadline: Applications must be submitted by March 31, 2026.

Questions: Contact Foundation of CCMS at info@ccmsonline.org or 239-435-7727.

The Foundation of Collier County Medical Society, Inc. is a 501(c) (3) organization, State of Florida Registration No. CH38165. Tax ID No. 46-1391700
A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE

Healthcare Scholarship 2026 Application