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2026 Henry Ford Jackson Al Glick Scholarship Application

To apply, complete the application form below.

As part of the below application, applicants are required to email the following information as attachments to; hfjhglickscholars@hfhs.org. Please include your full name in the subject line of the email submission.

Please send the below documents to finalize your application:

  • Transcripts
    • Transcript does not need to be official.
    • If you are currently attending high school/college, the transcript must be from current semester (PowerSchool not accepted) and must include the name of the high school or college/university.
  • Letter of Recommendation – Please include one letter of recommendation (cannot be a family member/relative)
  • Essay - Please email a one-page essay (minimum 650-word count) describing what inspires you to achieve your healthcare goals and how you plan to make your community a better place to live through your education and career aspirations. Be sure to include your specific reason for choosing Registered Nurse, Medical Assistant, Surgical Technologist, Social Worker, Respiratory Therapist, or Athletic Trainer as your professional field.
  • FAFSA Student Aid Index (SAI) – Proof of your Student Aid Index (SAI) is required for the current year. Once you have completed the Free Application for Federal Student Aid (FAFSA), please email the confirmation page or your FAFSA Submission Summary (FSS) that contains your SAI. Please do not email the entire FAFSA. If you need help completing the FAFSA, contact the College and Career Access Center at (517) 990-0671.
  • Your application will not be complete or considered until all information has been submitted. Please email the following information as attachments: Transcripts, Essay, Letter of Recommendation, and FAFSA – Proof of your Student Aid Index (SAI) to; hfjhglickscholars@hfhs.org. Please include your full name in the subject line of the email submission. Please note any incomplete applications submitted on the February 13th, 2026, will not receive a follow up and will not be considered.  

*Asterisk indicates required field.

General Questions

Extracurricular activities

We recognize not every community and school district are provided opportunities for extracurricular activities, and some individuals may experience barriers to participating. Please list 1-4 school, community and/or service activities in which you have participated. These may include family commitments such as caring for a younger sibling or ill relative. Other examples may include clubs, fine arts, volunteering, mission trips, youth programs or sports activities. Please include the approximate number of participation years and/or weekly or monthly hours spent on the activity. Also include any leadership roles held as part of the activity, if applicable.

Work Experience

Please list all paid work experience, including self-employment, that you have held. Please start with your most recent work experience, and list the name of the employer, nature of your work (job title), dates of employment and average hours worked per week.

Please Note

Your application will not be complete or considered until all information has been submitted. Please email the following information as attachments: Transcripts, Essay, Letter of Recommendation, and FAFSA – Proof of your Student Aid Index (SAI) to; hfjhglickscholars@hfhs.org. Please include your full name in the subject line of the email submission. Any incomplete applications submitted on the February 13th, 2026, will not receive a follow up and will not be considered.

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