Genesis HealthCare Foundation scholarship

Genesis HealthCare Foundation scholarship

2026 application
Applicant Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

ZIP Code
County of permanent residence*
Employer
Full timePart time

Education information
High school attended
Year graduated
GPA
College attending
Major
Year/level
GPA
Type of degree pursuing*

AccociatesBachelor'sMaster'sPhDOther

Family history
Are you a descendant of a graduate of the Good Samaritan School of Nursing?*

YesNo
What is the name of the graduate?
What is your relation to the graduate?
Are you a descendant of a graduate of the Bethesda Hospital School of Nursing?*

YesNo
What is the name of the graduate?
What is your relation to the graduate?
Are you the dependent of a current Genesis HealthCare System employee?*

YesNo
Genesis Employee name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

ZIP Code
Phone Number
Please enter a valid phone number.

Attachments
Please attach the following information to your application:
1. Verification of college acceptance or official college schedule

2. Two (2) letters of reference (not related to applicants)

3. Verification of high school / college transcript

4. Most recent IRS tax return from both student and parents/guardians. If parents are separated or divorced, application still must include both parents’ tax information or clear explanation as to why the information has been excluded. Students who are married and/or 26 years of age or older need not submit parents’ tax information.

5. TYPED response to the essay questions
.pdf, .doc, .docx, .xls, .jpg, .png
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