MCHF Scholarship Application
DEADLINE -Friday, December 13, 2024 at 5:00pm
Qualifications
To apply for a scholarship through the Moore County Health Foundation Scholarship Fund, please complete and submit the following electronic form. The applicant must be a Moore County resident and have been admitted to the RN, LVN, CNA, PTA, OTA, SLPA, Lab Tech, Imaging Tech, or Surgical Tech programs at Amarillo College, Frank Phillips College or WTAMU, and must be enrolled in the semester for which they are applying.
Student Name
*
First Name
Last Name
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Phone
*
Please enter a valid phone number.
Student Email
*
example@example.com
Student ID#
*
Are you a Moore County (Texas) Resident?
*
YES
NO
Are you currently registered for classes at your chosen college?
*
YES
NO
What is your area of study?
*
RN
LVN
CNA
PTA
OTA
SLPA
Lab Tech
Imaging Tech
Surgical Tech
What college are you enrolled at?
*
Amarillo College - Moore County Campus
Amarillo College - Amarillo
Frank Phillips College
WTAMU
What is your current GPA (grade point average?)
*
Have you completed your FAFSA / TAFSA?
*
YES
NO
How many individuals live in your home?
*
What is your family's estimated annual income?
*
Are you currently employed?
*
YES
NO
How many hours a week do you work? Enter 0 in you are not employed.
*
Demonstrating Leadership - Please note how you have demonstrated leadership (school, church, community, etc.)
*
Activities & Community Service - Please share what activities you participate in and how you serve the Moore County community.
*
Statement of Need - Please share why you need this scholarship.
*
Submit
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