SHP EOF Program Application

Educational Opportunity Fund (EOF ) Program Application
Invest in You Through SHP's Educational Opportunity Fund

The EOF program focuses on low-income students who want to pursue careers within the health professions. It provides a supportive environment through a combination of holistic academic advising, workshops, and academic support services.

Eligible students can receive financial assistance for tuition and books, as well as additional academic, personal and social support to help them successfully transition to Rutgers.
Contact Information
First Name*
Last Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Cellular Phone
Please enter a valid phone number.
Email*
example@example.com
Date of Birth / Emergency Contact Information
Date of Birth*

MonthDayYear
Date
Place of Birth (City & State)*
Person to Notify in Case of Emergency*

First NameLast Name
Your relationship to this person
Emergency Contact Phone Number*
Please enter a valid phone number.
Personal/Demographic Information
Last 4-Digits of SS#
Age*
Gender*
Citizenship Status*
Ethnicity*
Program Information
Select the SHP program you have applied or have been accepted*
Program Start Date*
Program Start Date*
Will you be Full-time or Part-time?*

Full-timePart-time
Education Information
Are you a first-generation student?*

YesNo
Select your highest level of education*
Name of High School Attended
Name of School*
City of School*
State of School*
Date of High School Graduation

MonthDayYear
Date
Name of the most recent school attended*
Dates (time frames) attended most recent school*
Ex: Sept. 2020-May 2023
Have you successfully completed a NJ GEAR UP or College Bound Program?*

YesNo
Did you graduate from a college/university?*

YesNo
Degree earned from college/university
Financial Support

This section must be completed in order to be considered for acceptance.
Source of Income
Other Source of Income
Are you a dependent of your Parent/Guardian?

YesNo
Name of Parent/Guardian

First NameLast Name
Address of Parent/Guardian

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of Parent/Guardian
Please enter a valid phone number.
Mother's Yearly Income
Father's Yearly Income
Your Gross Yearly Income*
Your Spouse's Yearly Income (if any)
Do you have any dependents?*

YesNo
Total number of persons in your household*
Please include yourself, spouse, children or other dependents as appropriate
Previous EOF Grant Information
Have you previously received a NJ EOF Grant?

YesNo
School that awarded the EOF Grant
Date of previous EOF Grant

MonthDayYear
Date
Have you previously received a TAG Grant?

YesNo
College that awarded the TAG Grant
Date of previous TAG Grant

MonthDayYear
Date
All responses will be kept confidential. Failure to furnish this information will delay the status of this application. Please be advised that any false statements, materials omitted or inaccuracies will automatically disqualify the applicant from consideration.
Dependent and Independent Students

Dependent and Independent Students are financially eligible for an initial EOF undergraduate grant if their gross household income does not exceed the applicable amounts set forth in the EOF Income Eligibility Scale. Please see the scale below.

Undergraduate Eligibility:
1. Must demonstrate an educationally and economically disadvantaged background
2. Must be a New Jersey resident 12 consecutive months prior to receiving the award
3. Must apply and be accepted to a participating New Jersey college or university
4. Must meet the academic criteria as set by the institution of choice
5. Must file a Free Application for Federal Student Aid (FAFSA) or the New Jersey Alternative Financial Aid Application.
6. Gross income and assets must fall within the criteria shown below:

Academic Year 2024-2025
EOF Income Eligibility Scale with Asset Cap Calculation

Applicants with a Household Size of	Gross Income Not to Exceed	Asset Cap Calculation (Not to exceed)
1	$29,160	$5,832
2	$39,440	$7,888
3	$49,720	$9,944
4	$60,000	$12,000
5	$70,280	$14,056
6	$80,560	$16,112
7	$90,840	$18,168
8	$101,120	$20,224
8+	Add $10,280, for each additional family member	Add $2,056 for each additional family member

For each additional member of the household an allowance of $10,280 shall be added to this amount in order to determine EOF eligibility for the 2024-2025 academic years. This allowance shall be adjusted to reflect changes in the federal poverty guidelines as published in the Federal Register. In addition, the gross income level for each household size shall also be adjusted annually.

A dependent student's income shall not be considered in the gross household income.

An applicant whose family receives welfare as the primary means of family support is considered eligible regardless of the amount of primary welfare support.

Signature of Applicant*
Please type you full name
Should be Empty:

Educational Opportunity Fund (EOF ) Program Application

Contact Information

Date of Birth / Emergency Contact Information

Personal/Demographic Information

Program Information

Education Information

Financial Support

Previous EOF Grant Information