OGHS Foundation Healthcare Scholarship 2026-2027 Application

OGHS Foundation Scholarship Application 2026-2027
PURPOSE
The OGHS Foundation is concerned that the educational opportunities for individuals interested in healthcare may not be realized due to financial constraints. The purpose of this scholarship is to encourage deserving applicants who seek employment within St. Landry Parish upon graduation to pursue healthcare-related studies.
CRITERIA
Scholarships will be awarded based on academic background, likelihood of completing the degree or program, financial status, the availability of resources and funding, your chosen medical career, and the needs of Opelousas General Health System. All applicants must be current residents of St. Landry Parish or employees of OGHS and must have a current cumulative GPA of 2.25. If you are currently receiving or are eligible for a TOPS Scholarship, you do not qualify for this scholarship.
AWARD
Scholarship amounts will be determined by the aforementioned criteria and may be used to further education in medical fields such as nursing, respiratory therapy, medical technology, medical records, patient care, and other healthcare-related fields, as approved by the scholarship committee. Scholarship amounts may include partial or full payment of tuition to Louisiana State University at Eunice (LSUE), Louisiana State University at Alexandria (LSUA), University of Louisiana at Lafayette (ULL), Southern University, or T.H. Harris. Scholarship funds will be paid directly to the educational institution.
APPLICATION PROCESS
Please fill in every question on this form to be considered. Any omitted material will automatically disqualify your application for consideration. If a question is not applicable to you, please fill in “N/A”. Once this form has been submitted, please submit a physical copy of the following:

-Two sealed letters of recommendation

-Official high school transcript/GED

-Original, sealed, and stamped post-secondary transcript (college) if applicable

-All current professional licenses/certifications (if applicable)

All documents, including the application, should be submitted no later than Friday, March 6th, 2026. No exceptions will be made. Physical copies of the additional required materials may be mailed or hand-delivered to the following address:

OGHS Foundation

Attn: Olivia Buller

3983 I49 South Service Road

Opelousas, LA 70570

All applications will be considered without regard to race, sex, national origin, age, ability, or veteran status. Applications will be reviewed by the Scholarship Selection Committee, and the top candidates will be called for interviews with the committee. The final decision will be made and approved by the Scholarship Selection Committee and is not subject to appeal. Scholarships will be awarded in May. If you have additional questions, please feel free to call the Foundation Office at 337-943-7143 or email oliviabuller@opelousasgeneral.com.
Applicant Information
Name*

First NameMiddle NameLast Name
Nickname
Mailing Address*
City*
State*
Zip*
Parish*
Phone Number*
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Please select the school you plan to attend:*

LSUELSUASouthernULLSLCC OpelousasSLCC LafayetteOther
Planned Major*
Are you returning to college to gain further licensing? EX: LPN to RN*
Most Recent ACT score if applicable*
Are you a resident of St. Landry Parish?*

YesNo
Education History
Check the highest grade completed.*

7th8th9th10th11th12thCollege: Year 1College: Year 2College: Year 3College: Year 4
Please fill in your most recent school information below:
Name of School*
Address*
City*
State*
Zip*
Please provide the date you started attending this school*

MonthDayYear
Date
Please provide the date you finished/will finish attending this school*

MonthDayYear
Date
Did you graduate?*

YesNo
GPA*
Graduation or anticipated graduation date*

MonthDayYear
Date
Degree received*
Please fill out your high school information if not already listed under most recent school. If it is, then please write "See above".
Name of School*
Address*
City*
State*
Zip*
Graduation Date*

MonthDayYear
Date
GPA*
Program Enrollment Information
What is the name of the program in which you are enrolled for fall semester 2026?*
Name of Institution*
Address*
City*
State*
Zip*
Name of contact person for the program*
Title of contact person*
Phone number of contact person*
Email of contact person*
example@example.com
Program Start Date*

MonthDayYear
Date
When did you first enroll in the program, if you are returning? *

MonthDayYear
Date
Current Year in Program*
Projected Graduation Date*

MonthDayYear
Date
Estimated Tuition per Year*
Estimated Tuition per Semester*
School Cost Estimation
For academic year 2026-2027, please estimate your expense by answering the questions below.
LIVING EXPENSES: Check the item that best describes your situation.*

There will be no substantial change in living arrangements and expenses when you start school. (e.g., You are living independently or with family now and will continue to do so)When you start school, you will be moving from home/family (where your living expenses are paid) to new accommodations (such as a dorm or apartment) that will involve much more expense.Other
If you selected the second option, how do you intend to pay the additional expense? Please be specific.
Please enter the amounts you have or anticipate having to fund your education (in the coming school year only)
Support/Gifts from parents or family*
Federal or State grants*
Scholarships *
Student Loans*
If receiving federal or state grants, please list the name of the grant and the amount it is for. *
Please list the individual scholarships you have applied for, if you will receive them, and the amount you anticipate receiving*
Please list the student loans you have applied for, if you will receive them, and the amount you anticipate receiving*
Do you currently receive a TOPS Scholarship?*

YesNo
Will you be eligible for TOPS in the coming year?*

YesNo
If not, why not? *
EMPLOYMENT HISTORY

If you have never been employed, please indicate this below by filling each blank with "N/A".
Company Name 1*
Address*
City*
State*
Zip Code*
Phone*
Type of Business*
Type of Work*
Date employment began*

MonthDayYear
Date
Date employment ended (if applicable)*

MonthDayYear
Date
Reason for Leaving*
Company Name 2*
Address*
City*
State*
Zip Code*
Phone*
Type of Business*
Type of Work*
Date employment began*

MonthDayYear
Date
Dates employment ended (if applicable)*

MonthDayYear
Date
Reason for Leaving*
Professional licenses and Certificates
Do you currently have a professional license or certification?*

YesNo
If so, please list below*
If you do have a current professional license/certificate, has your license ever been suspended or revoked?*

YesNoNot Applicable
What certification, licensure, or degree will you be eligible for upon completion of the program you are attending in the 2026-2027 academic year?*
Why are you interested in a career in health care? *
What do you see as the greatest challenges to providing high quality healthcare in St Landry Parish?*
What are your plans after graduation? Where do you see yourself in five years?*
Please state any other information that you believe would be helpful to the Scholarship Selection Committee.*
How did you hear about the OGHS Foundation Healthcare Scholarship?*
APPLICANTS CHECKLIST

All documents must be submitted in order to be considered as a scholarship. No exceptions will be made.
All documents must be submitted in order to be considered as a scholarship. No exceptions will be made.*

Completed application including all signatures.4X6 Photo mailed or delivered to the Foundation.Original, official high school transcript or GED.Original, SEALED official post-secondary transcripts (i.e., colleges, universities, technical schools) mailed or delivered to the Foundation.Copies of any current professional licenses/certifications (if applicable).Two letters of recommendation in sealed envelopes.
By signing your name below, you recognize the following:

I certify that the answers given on this application are true and understand that false answers will disqualify me from consideration for the OGHS Foundation Scholarship. I authorizethe investigation of all statements in this application. I understand that submission of an application does not mean I will automatically receive a scholarship and that the OGHS Foundation Scholarship Committee will make the final decisions.
Signature of Applicant*

Clear
Date*

MonthDayYear
Date
Should be Empty:

OGHS Foundation Scholarship Application 2026-2027

PURPOSE

CRITERIA

AWARD

APPLICATION PROCESS

Applicant Information

Education History

Program Enrollment Information

School Cost Estimation

EMPLOYMENT HISTORY

Professional licenses and Certificates

APPLICANTS CHECKLIST