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To submit your entry for The Rehab 4 Addiction Health Care Scholarship, please fill our the form below.

Submissions must contain a personal essay (no more than 500 words) explaining why you are passionate about working health care, with a particular focus on addiction, substance use disorders and mental health.

Once entries are reviewed, a winner will be chosen for a $1,000 academic scholarship. Submissions must be submitted to us by 11:59 p.m. Pacific Standard Time on October 30, 2019.

See the official rules for a complete list of terms and conditions.

A full list of rules can be found here.

* Required

First Name *
Last Name *
Email address *
Phone number *
Street Address *
City *
State *
Zip *
Student ID
Name of School (either current or one you intend to enrol in)
Area of study or major *
Year in school *
GPA *


Personal statement *

In 500 words or less, describe why you are passionate about the drug and/or mental health industries and why you would be an appropriate candidate for this scholarship.