2026 HCA Scholarship Program Application

2026 Scholarship Program

Please Fill Out the Form Below to Submit Your Scholarship Application
REQUIREMENTS FOR APPLICATION:

Parent/guardian must have been an HCA member one (1) year prior to application deadline, must have attended at least four (4) meetings within the year, and membership must be current.

The Applicant Must:
1. Have been accepted by or is currently enrolled in an accredited college, university or vocational/technical school.
2. Be financially dependent on parent/guardian.
3. Be less than 25 years of age at the beginning of the scholastic year (September 1).

ATTACHMENTS:
All required documents or an explanation must accompany the application form. Failure to do so disqualifies the applicant.

1. Copy of applicant's high school or college transcript.
2. Copy of applicant's letter of acceptance, if available.
3. Copy of any awards, recommendations or documents which applicant feels will assist the selection committee.
4. Current photograph.
Name*

First NameLast Name
College Student ID or Social Security #
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Parent/Guardian who is a member of HCA
Parent/Guardian Employer & Position
Business Phone Number*
Email
example@example.com
High School Attended
Date of Graduation

MonthDayYear
Date
Name & Telephone Number of School Counselor
Institution to be Attended
(If Currently Enrolled) Name of Institution
(If Currently Enrolled) Last Semester Attended
(If Currently Enrolled) Current Grade Point Average
Please List Extracuricular Activities
Please do not exceed 200 words.
Offices of Leadership/Positions Held
Please do not exceed 200 words.
Work Experience
Please do not exceed 200 words.
SAT/ACT Scores
Date SAT/ACT was Taken

MonthDayYear
Date
Major Study Interest
Minor Study Interest
Do you hold or have you applied for any other scholarship (Please name scholarship applied for & where)?
State briefly why you applied for this scholarship, why you feel you should receive it & what you want to achieve with it. List any other information which you feel will be important to the selection committee.
Applicant's High School or College Transcript*

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(If Available) Applicant's Letter of Acceptance

You can share certificates, diplomas etc.
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Please upload any awards, recommendations, or documents which applicant feels will assist in the selection

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Current Photograph

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Should be Empty:

2026 Scholarship Program