2022 Application Cycle

This scholarship is awarded by the Crisis Center Junior Board on an annual basis.
Responses are due by Wednesday, June 1, 2022.

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* 1. Email

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* 2. Name

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* 3. Age

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* 4. Pronouns

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* 5. Phone

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* 6. Position at the Crisis Center

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* 7. Volunteer or Staff?

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* 8. What is your total length of service at the Crisis Center?

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* 9. What is the highest level of education you have completed? (Institution and Year)

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* 10. Are you currently enrolled or do you have plans to enroll in any education program?

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* 11. If yes, please list school or university you are attending or plan to attend.

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* 12. What degree program are you pursuing?

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* 13. Expected graduation date

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* 14. Do you wish to apply for scholarship for this education?

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* 15. How would a scholarship help you achieve your goals?

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* 16. Describe the work you do at the Crisis center?

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* 17. What prompted your involvement with the Crisis Center?

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* 18. What is the most meaningful part of your work? Do you have any examples?

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* 19. What's your favorite thing about working at the Crisis Center?

Please provide this recommendation form to your references. Recommendations are due by June 1, 2022.

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