Randon Scholarship - Leading Health Care of Louisiana

The Randon Costello Scholarship Endowment Fund honors the life and legacy of Randon Costello, long-time Leading Health Care of Louisiana employee and daughter of the company founder, Josette Rovira. Randon was a wonderful daughter, wife and mother. She had a contagious smile and warmth that drew you close to her. She was blessed with grace and wisdom, love and compassion, kindness and hope.

This scholarship fund is a tribute to her faith in God, her sweet character, her love for others, humble manner, uncanny wisdom and enduring hope and perseverance — the same traits our Direct Service Workers display to our clients every day.

These scholarships are for dependent children of eligible^* DSWs to help pay for tuition, required fees, books, supplies and room and board for full-time or part-time enrollment at a primary, secondary, technical and vocational school or college of their choice. Please see program guidelines for more information.

If you meet the eligibility requirements, please complete the application below, print the Transcript Request and Appraisal Form, or request a hard copy application from your local Leading Health Care office and return by the application period deadline of June 30.

A selection committee will review all Scholarship applicants and make recommendations on the granting or denial of such applications and amounts to be awarded.

Leading Health Care is excited to offer this benefit to our dedicated and committed Direct Care Service Worker staff. If you have any questions, please send an email RandonScholarship@lchla.com.

Guidelines

Transcript Request

Appraisal Form

Printable Application

Online Application

Personal Information
Full Name of Applicant*
First Last
Nickname
Phone*
Email*
Present Home Address*
Street Address City State / Province / Region ZIP / Postal Code
Social Security Number*
Date*
Date Format: MM slash DD slash YYYY
Family Information
Mother's Name*
First Last
Mother's Occupation
Mother's Address
Street Address City State / Province / Region ZIP / Postal Code
Mother's Phone
Father's Name*
First Last
Father's Occupation
Father's Address
Street Address City State / Province / Region ZIP / Postal Code
Father's Phone
Leading Health Care office where parent(s) are employed:*
Name and ages of siblings/other dependents. Indicate what school(s) they attend.
Education
1. Name all primary, secondary, technical, vocational or colleges you have attended in the last five years, regardless of whether you have graduated. List the school you are presently attending first.
2. How many years do you plan to attend the school of your choice, and what course of study would you like to pursue?
3. What future business or educational career will you likely pursue?
4. What school(s) would you most like to attend? Please explain your reason.
5. What schools have you applied to for admission? Please indicate acceptance status.
6. List any scholarships, grants or loans for which you have applied, and funding amount you will receive, if known.
Extra-Curricular and Service Activities
1. Academic, athletic, service, and extra activities. Use additional pages or attach resume for sections a, b, and c.
a. List academic awards, achievements and dates.
a. Resume
b. List participation in athletic activities.
b. Resume
c. List participation in community service and extra-curricular activities.
c. Resume
Employment History
List jobs you have held in the past two years.*
Employer / Dates / Hours per week / Position / Salary
Cost of Education
Please provide the following information for each school that you apply.
School Tuition Room/Board Books/Supplies Clothing/Personal Transportation Scholarship money available? TOTAL ANNUAL COST
Financial Need Summary
Complete this section regarding Estimated Combined Net Income of you, your parent(s) or guardian(s) for the current year. Please attach a copy of your and your parent’s most recent Federal Income Tax statement to the back of this application form.
Name of Person Income and Year Total Annual Income
b. Have you filed a FAFSA (Free Application for Federal Student Aid)? If so, please submit a returned copy showing your EFC (Expected Family Contribution) or attach below.
File
c. Describe any special circumstances such as medical conditions, disabilities, etc. that may affect your ability to pay for your college tuition. Use additional pages if necessary.
Please print the Appraisal Form and Transcript Request and submit those documents by the deadline or your application will be considered incomplete.
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School	Tuition	Room/Board	Books/Supplies	Clothing/Personal	Transportation	Scholarship money available?	TOTAL ANNUAL COST

Name of Person	Income and Year	Total Annual Income

Online Application

Personal Information

Family Information

Education

Extra-Curricular and Service Activities

Employment History

Cost of Education

Financial Need Summary