Annual Scholarship Program

Application Requirements

Submit the following documents by the application deadline:

Required Documents:
1. Completed scholarship application form
2. Photo ID (copy of Iowa Driver's License)
3. Two letters of reference
4. Current transcript or acceptance letter

Submission Instructions:

Email: info@iowaheartfoundation.org

OR Mail to Iowa Heart Foundation address

Application Form Fields

Applicant Information:

First and last name

Address

City, state, zip code

Phone number(s)

Email address

Employment Information:

Employment status (full-time, part-time, unemployed)

Employer name and contact information

Supervisor information

College/University Information:

Student status (full-time or part-time)

Name of college/university

Program/degree pursuing

School address

Expected graduation date

Professional References:

Two professional references with:

- First and last name
- Email
- Phone number

Personal Statements (Essay Questions):
1. List contributions to your profession (may include professional memberships, volunteering, work experience, etc.)
2. Describe future professional goals including plans after graduation, preferred job role, and interest in cardiovascular care
3. Describe how a scholarship would impact your future

Anticipated Expenses:

List all anticipated expenses for the scholarship academic year

Include expense type (tuition, room/board, books, fees, supplies, transportation, child care, other)

Provide expense amount and description for each item

Terms of Agreement:

Applicant must acknowledge and agree that:

- Information provided is true and accurate
- Scholarship is awarded for one year on basis of need
- Must maintain good standing at accredited institution
- Reapplication required for future years
- Funds issued only to school where student is enrolled and in good standing
- No discrimination based on race, color, national origin, religion, sex, age, handicap, or veteran status