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Michael K. Falligant Scholarship Application

2023 Application Cycle

This scholarship is awarded by the Crisis Center Junior Board on an annual basis.
Responses are due by Friday, September 1, 2023.
1.Email(Required.)
2.Name(Required.)
3.Age(Required.)
4.Pronouns(Required.)
5.Phone(Required.)
6.Position at the Crisis Center(Required.)
7.Volunteer or Staff?(Required.)
8.What is your total length of service at the Crisis Center?(Required.)
9.What is the highest level of education you have completed? (Institution and Year)(Required.)
10.Are you currently enrolled or do you have plans to enroll in any education program?(Required.)
11.If yes, please list school or university you are attending or plan to attend.(Required.)
12.What degree program are you pursuing?(Required.)
13.Expected graduation date(Required.)
14.Do you wish to apply for scholarship for this education?(Required.)
15.How would a scholarship help you achieve your goals?(Required.)
16.Describe the work you do at the Crisis center?(Required.)
17.What prompted your involvement with the Crisis Center?(Required.)
18.What is the most meaningful part of your work? Do you have any examples?(Required.)
19.What's your favorite thing about working at the Crisis Center?(Required.)
Please provide this recommendation form to your references. Recommendations are due by June 1, 2022.