EmailMeForm
CT Assist Scholarship
Student ID#
*
Student Name
*
First
Last
Contact Information
LHU Email Address
*
Campus Attending
*
Main
Clearfield
Harrisburg
Coudersport
Academic Information
Academic Major
*
Scholarship Information
Candidate must be willing to spend at least one rotation domestically or abroad to an under served community.
You may upload an essay instead of typing in the box. Please save the file with your last name and the name of the scholarship.
File Upload
Add File
We recommend using a PDF or Word Document only. Please save the document with your last name and the name of scholarship.