THE LULING FOUNDATION HEALTHCARE SCHOLARSHIP AGREEMENT

(830) 875-2438 ~ FAX (830) 875-3138 ~ email: lulingfoundation@sbcglobal.net

Application Due By March 31, 2008

The Luling Foundation has established a scholarship at any healthcare college or university, trade or vocational school with programs in healthcare in the State of Texas. Recipients must have a high school degree or equivalent. Graduating high school seniors are encouraged to apply.

The scholarship shall be administered as follows:

1. Name: The Luling Foundation Healthcare Scholarship

2. Amount: Provide an amount to be determined annually to each student recipient.

The first year, the scholarship will have one recipient from the Luling area, and an alternate for a one-year scholarship. The Foundation will fund students for one complete school term, provided, grade requirements are met. If the recipient should drop out of the scholarship, for any cause, the alternate would be eligible to use any amount of the

scholarship money that had not been expended provided the alternate meets all qualifications.

3. Type: Annual grant or gift and to be continued as long as trustees of The Luling

Foundation consider it justified and financially feasible.

4. Effective: To become effective with the 2008-2009 academic year, but The Luling

Foundation trustees have the privilege of not renewing the grant, at any

time.

5. Availability: Availability of the scholarship will be publicized by written notification to

all qualified high schools and to all county agents in the three-county

area (Caldwell, Gonzales, & Guadalupe) served by the Foundation.

6. Recipient: Regularly enrolled students, pursuing a degree in healthcare or a

healthcare related degree, to include a degree program in an accredited trade or vocational school with approved programs in healthcare.

7. Selection of A. The selection committee shall be comprised of high school

Recipient: counselors, county agents, and representatives from local health care organizations.

B. On the basis of objectivity and non-discrimination, the selection

committee members will not judge applications from their own family.

The selection committee will request personal interviews of the

applicants.

C. After the selection committee has selected the designated

nominee, this name, plus all application forms submitted for the said nominees will be presented to The Luling Foundation Board of Trustees for approval or disapproval. If the primary nominee is not accepted by the Board, the alternate will be selected for that year.

8. Selection A. Student must be a citizen or permanent resident of the United

Criteria: States and a resident of the State of Texas.

B. Student must have at least an average academic record.

C. Student must have a good conduct record.

D. The applicant’s transcript must be submitted with application.

College Entrance Exam scores should be included, as well, if applicable.

E. Only residents in the local areas served by The Luling Foundation

will be given consideration for the scholarship, and selection will be made on an objective and non-discriminatory basis.

F. Students will be judged on their extracurricular experiences,

leadership skills and community service, as well as academic record

and financial need.

G. No student should be excluded from consideration, based on his/her

parents’/grandparents’ affiliation with The Luling Foundation.

H. One of the primary considerations for receiving this grant will be the

student’s need for financial help to attend college.

9. Stipulated A. Mid-semester and final semester grade reports must be sent to The

Terms of Luling Foundation, 523 South Mulberry Avenue, Luling, TX 78648-2940.

Scholarship:

B. Failure of a student to maintain at least a “C” average in each

course, at the time of mid-semester grade reporting, would be grounds

for cancellation of this grant.

C. The grant is gifted in two (2) payments and are to be made in

August and January of each school year, payable directly to the college, university, trade or vocational school attended by the recipient. The institutions agree to use the funds received to defray recipients’ expenses or to pay the funds to the recipient, only if his/her academic standing is consistent with the purposes of this grant.

D. Student must take a minimum of one (1) healthcare course per

semester which is related to his/her degree program. Student must be

enrolled as a full-time student, carrying at least a 12 hour load. Part-time

students are not eligible for this grant.

All applications are due at The Luling Foundation Office by

March 31, 2008

523 S. Mulberry Ave. Luling, TX 78648

Late applications will not be accepted

COUNTY_______________ DATE___________

THE LULING FOUNDATION HEALTHCARE SCHOLARSHIP APPLICATION

Application must be filled out in detail. READ CAREFULLY. (please type or print clearly;

will e-mail form upon request)

1. Applicant Name ______________________________E-Mail_____________________

Social Security # ______________________________ Telephone #________________

Alternate #________________

2. Home Address ________________________________________________________

(Street or Rural Route and Box #) (City) (Zip)

3. Place of birth ______________________________ Date of birth ________________

4. Name of High School Attended _____________________________________________

Address of High School Attended ____________________________________________

Date of High School Graduation _____________________________________________

What is your rank in your class? _____________________________________________
(top 25%, top 50%, etc.)

5. Names and address of parents or guardians ________________________________

_______________________________________________________________________

6. Father or Guardian’s Occupation ______________________________ Age _________

Business Title ______________________ Employer ____________________________

7. Mother or Guardian’s Occupation ______________________________ Age _________

Business Title ______________________ Employer ____________________________

8. Will any brothers or sister be attending college at the same time you are attending?

Yes _____ No _____ If yes, number attending. _____

9. Have you been accepted for admission to a college, university, vocational or trade school?

Yes _____ No _____ Name of Institution _______________________

10. If not already accepted, have you made application for admission? Yes _____ No _____

11. Field in which you plan to study _____________________________________________

12. Proposed Career _________________________________________________________

_______________________________________________________________________

13. Have you received or will you be a candidate for other scholarships? Yes ____ No ____

If so, please list __________________________________________________________

14. List specific reasons why you need financial assistance. _________________________

______________________________________________________________________

15. List jobs you have worked during summer and after school.

Year Employer Work Description

16. What plans do you have to meet expenses for college, above and beyond the amount of this

Scholarship? (type in space provided—double spaced)

_____________________________________________________________________________

17. LEADERSHIP ACTIVITIES (List extracurricular activities and other leadership club participation. Include offices held, major committee work, individual honors, community services, etc.)

Year	Office/Award	Level of Participation

18. GROUP YOUTH LEADERSHIP ACTIVITIES (List Activities of which you were a team member, including leadership and judging teams, clubs, etc.)

Year Activity Placing or Ranking

19. SCHOOL AND COMMUNITY AWARDS (school organizations, sports, church and

Community awards)

Year Office, Award, Honor

20. NARRATIVE—In one page or less, typed double-spaced, attach a narrative about yourself.

Cover any points in the application that you feel need to be further explained, such as financial needs and other information not covered, that you feel is important for the selection committee’s consideration.

21. A copy of your high school transcript must be attached to this application. College entrance Exam scores must be attached (if applicable), as well.

/bkd

11/2007