North Hills Community Outreach's Education Assistance Program Application
Thanks for your interest in North Hills Community Outreach’s Education Assistance Program (EAP). We are now accepting applications for our Spring 2025 award period. Please fill out the application below no later that October 15, 2024. This program was developed for non-traditional adult students who reside in northern Allegheny County (outside of the City of Pittsburgh) or are enrolled in a post-secondary educational institute (college, university or vocational school) in northern Allegheny County (outside of the City of Pittsburgh). Applicants must fall into the program's income guidelines (200% of federal poverty level or less). If a student meets all application requirements, they will be asked to participate in an interview with our Education Assistance Committee. *Students must be enrolled at a post-secondary educational institute by the date of their interview with the EAP Committee*. Award amounts vary based upon student's individual needs and the availability of funding each award period. Email: jmboggs@nhco.org if you have any questions about the program or application process.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
Male
Female
Prefer not to answer
Race/Ethnicity
Do you have a Disability?
Yes
No
Marital Status
Single
Married
Divorced
Separated
Widowed
Are you a Veteran?
*
Yes
No
Total number of individuals in your household (including yourself):
*
Describe you educational history
*
Are you enrolled in a post-secondary educational institute (college, university, vocational school) for the upcoming term?
*
Yes I am already enrolled in classes
Accepted but not yet enrolled in classes
Applied but not yet accepted (Students MUST be accepted into a program by the date of their interview with the Education Assistance Committee)
Planning to apply (Students MUST be accepted into a program by the date of their interview with the Education Assistance Committee)
Name of Post-secondary Educational Institute where you are or will be enrolled for the upcoming term
*
Will you be
*
Part Time
Full Time
What is your major?
*
What type of degree are you pursuing?
*
Associate
Bachelor
Trade School or Certification Program
Other
When is your anticipated graduation date?
*
Are you currently receiving any other scholarships or grants?
*
No
Yes
If yes, please list here
Are you currently employed?
*
Yes
No
If yes, where?
If yes, do you plan to continue working while enrolled in school?
No
Yes
Yes but with reduced hours
What is your monthly household income (the total amount of income for ALL members living in your home)?
*
Please list all sources of your monthly household income.
*
If possible, please upload proof of household income (copies of paystubs, Social Security Award letters, child support, etc.). If you are unable to upload below, please email copies to jmboggs@nhco.org
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Why are you continuing your education and what is you goal after completion? (one to two paragraph)
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What is your financial hardship and how will receiving assistance help you achieve your educational goals? (one to two paragraphs)
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If you were to receive an award, in which area(s) would you be seeking financial assistance? Please check all that apply.*If you need assistance in an area not mentioned below, we may be able to refer you to one of NHCO's other programs for support.*
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Tuition
Books
Testing/Certification/Graduation Fees
Childcare
Laptop/Computer
Supplies required for classes (uniforms, specific tools)
A requirement of the Education Assistance Program is that you attend an interview with our Education Assistance Committee so they can get to know you and your educational plan better.
*
I will be able to attend an in person interview
My work and/or school schedule does not allow for me to attend an interview in person and I would like to discuss alternate options.
Please use your computer mouse or smart phone to sign below. By your signature, you certify that the information provided by you in this application is true. You agree to provide a copy of your grades and/or transcript upon request. You also authorize NHCO to contact the school if necessary.
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Submit
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