FAUQUIER COMMUNITY ENRICHMENT ALLIANCE. INC. SCHOLARSHIP Question Title * 1. Demographic Information Name: * Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Country: Email Address: * Phone Number: * Question Title * 2. Date of Birth Month Day year Date of Birth January February March April May June July August September October November December Date of Birth Month menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Date of Birth Day menu 1980 1981 1982 1983 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2010 Date of Birth year menu Question Title * 3. List the college or university that you are presently enrolled in or have been accepted to. Question Title * 4. What are your tentative plans for your healthcare career? Question Title * 5. Please list your school activities. Question Title * 6. Please list your community activites. Question Title * 7. Please list your honors and awards. Question Title * 8. Please list your employment history. Question Title * 9. Please explain why you have chosen to pursue a healthcare career. Question Title * 10. You are required to submit the following documents via email to Scottijoseph@Hughes.net.All documentation must be received by March 31, 2024 in order to be considered for this scholarship. Incomplete applications will be discarded after the deadline date.Questions? E-mail ScottiJoseph@Hughes.net. All Applicants - Letter of recommendation from your academic adviser All Applicants - A transcript of your grades High School Seniors - A copy of your college Board scores High School Seniors - A copy of your college acceptance letter College or University Students - Proof of current enrollment College or University Students/Re-applicant - must submit current documentation Done