$2500 Awarded amount

(i.e. Disability Studies, Special Education, Psychology, Sociology, Nursing, etc.)

Application Deadline: Friday, May 10, 2024

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* 1. Contact Information

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* 2. Parent Name(s)

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* 3. Address of Parent(s)

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* 4. Schools Applying to:

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* 5. Years of Education:

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* 6. Program:

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* 7. Please provide us with a description of yourself. Include activities that you have participated in which are related to this career field.

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* 8. Please provide us with any volunteer experience you have done.

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* 9. Tell us about your three great accomplishments and why you consider them so.

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* 10. Why are you interested in a career in Human Services? Briefly provide your reasons in 150-200 words.

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* 11. Attach a copy of your most recent transcript. (High School, College or University)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 12. Attach a copy of the acceptance to register at the college you will be attending.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 13. Please provide 2 references and their contact information (e.g. Teacher/Minister/Volunteer Supervisor etc.

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* 14. Additional information that will help us in making our decision?

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