2025 (Summer) Caregiver Application

ALL Care Professionals are Eligible!

Thank you, Caregivers! We appreciate all that you do in caring for others, and we are thrilled to offer you this opportunity to follow your dreams in the care industry! In this section, you will enter your personal and professional information as your application for a 2025 (Summer) Jean Griswold Foundation scholarship.

Please note that your application is not considered complete or eligible for scholarship until this form is submitted and a recommendation form is completed and submitted by a supervisor nominating you for this award by 11:59 pm ET on March 31, 2025. Supervisors may be from your home care agency, or a client you care for through private duty or a care pairing registry. You are encouraged to check in with the person recommending you to ensure they complete and submit their form. You will receive an email confirming successful submission.

To begin, please fill out the below application form. For any questions, please reach out to: Info@JeanGriswoldFoundation.org

Name

First Name

Last Name

Preferred Pronouns

Phone

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you affiliated with a Griswold Office

Affiliation is not required for scholarship

YES

If yes, what is the Griswold Office you are affiliated with? If no, what is the closest Griswold Office

Not sure? To search for a location, open a new browser tab and go to: GriswoldCare.com/Locations

Highest Level of Education Achieved

Goal: Certificate or Degree to Achieve Next

If other, please specify:

Household Income

Scholarship awards are not based on this

Number of Dependents in Household

Scholarship awards are not based on this

Name of Intended School for this Study

Write "UNK" if unknown

School Address

Write "UNK" if unknown

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Supervisor who will be nominating you

Email of Supervisor who will be nominating you

Phone Number of Supervisor who will be nominating you

(###)

###

####

How long have you been a Caregiver?

Include “years” or “months” in your value

What do you like best about Caregiving?

Why are you pursuing this education now?

Where do you see yourself in the Care industry in 5 years?

Describe a time where you knew you made an impact in the life of someone you cared for.

Sponsor Nomination Application

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