MI Achievement Scholarship

MI Achievement Scholarship

Eligibility Form. Only for Michigan State Residents.
Your Information
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Eligibility Selection

View the full eligibility requirements at https://www.michigan.gov/mistudentaid/-/media/Project/Websites/mistudentaid/Publications/Fact-Sheets/MASFactSheet.pdf
Year of graduation (YYYY)
Number of years you have stayed in Michigan
Income/Hourly wage in the last 6 months
per hour wage
Required documents - must be from 2023 or later
- High school diploma
- or certificate of completion for high school
- or a high school equivalency certificate or high school transcript from Michigan
AND
- State ID to verify you are a Michigan resident
Eligibility Documentation Upload

View full eligibility requirements at https://www.michigan.gov/mistudentaid/-/media/Project/Websites/mistudentaid/Publications/Fact-Sheets/MASFactSheet.pdf
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Student Attestation:

I hereby attest that I meet the eligibility criteria checked in question above and wish to apply for MiSSG funds to assist me with tuition at Nucamp. I have provided the most current documentation available to substantiate my eligibility. I understand that MiSSG funds will pay for tuition only.
Student Statement:
Signature and Submission
Signature
Date

MonthDayYear
Date
Should be Empty:

Your Information