2026-27 Patsy Mink Education Support Award Application

REQUIRED APPLICANT CRITERIA: Please review all criteria prior to proceeding to the application. All applicants must meet all six of the criteria below, as posted on our website, to be eligible for consideration.

must be a woman, at least 17 years of age;
must be a mother, with minor children;
must be low-income, total annual family income less than $21,640 for a family of 2; less than $27,320 for a family of 3; less than $33,000 for a family of 4. (see HHS Poverty Guidelines for 2026 larger family size limits.)
must be currently enrolled in a program pursuing a progressive degree at a postsecondary level of education that does not duplicate a degree level already completed. A "postsecondary education" is a formal education beyond high school to obtain certification for an occupation or earning an academic credential: vocational, associate, bachelor's, master’s, doctoral, etc. "Progressive" means you must be enrolled in a program that is more advanced than any prior level of education you have obtained. Examples of progressive include, but are not limited to: enrollment in an associate degree or vocational program after receiving a high school diploma/GED, a bachelor's degree program after receiving a high school diploma/GED or associate degree, or an advanced degree such as a master's or PhD after receiving a bachelor's degree. "Does not duplicate" means that we cannot consider applications seeking support for a level of degree that that the applicant already holds: a second associate degree, a second bachelor's, etc, regardless of disciplinary focus.
pursuit of degree/certificate must be at an institution that does not discriminate on the basis of sex/gender; race/ethnicity; lgbtq+ status/identity; religion; disability; or immigration status;
must be residing in the U.S and enrolled full time for the 2026-27 academic year in a not-for-profit, accredited institution or program located in the U.S. with a program completion date on or after April 1, 2027. Applications for for-profit institutions cannot be considered. The following resources will help you determine whether you meet this criteria. Not for Profit Status and Accreditation Status: College Navigator is a helpful website to look up your institution to determine if it is accredited and not-for-profit. Full time enrollment status: is determined by your institution. Contact your institution directly to confirm that you meet the institution's full-time enrollment criteria.

Criteria Eligibility Confirmation:

ALL APPLICANTS - PLEASE READ THESE IMPORTANT NOTES ABOUT:

SAVING TO CONTINUE YOUR APPLICATION AT A LATER TIME
SUBMITTING YOUR APPLICATION
POST-SUBMISSION EDITS

The ACCURACY of YOUR EMAIL ADDRESS is CRITICAL to these processes. PLEASE ENSURE IT IS ENTERED CORRECTLY. Save, Submit, Edit, and other functions of this application depend on completion of all sections of the application up to and including your email.

TO SAVE & CONTINUE YOUR FORM AT A LATER TIME: With Save & Continue Later you may continue to work on your application-in-progress over time until August 1 without formally submitting. Here are the necessary steps:

Complete all fields on the application up to and including your email.
ONLY after you have entered your email, you may Scroll to the bottom of the Application and CLICK THE "SAVE & CONTINUE LATER" BUTTON.
A JotForm window will pop up asking you to Save Your Progress.
SELECT THE "Skip Create an Account" option at the very bottom of the pop-up window (DO NOT create a personal JotForm account).
A new window will pop up stating: "Your form has been saved as a draft. If you want to continue your form later, please enter the email address you would like to send the link to."
ENTER YOUR EMAIL ADDRESS, then CLICK the "SEND LINK" Button to the right. If you do not complete this step you will not be able to complete your application in progress and will need to begin again.
You will receive an email at the address you provided, with your dedicated session ID link for your application-in-progress. SAVE THAT EMAIL. You will need that link to access your application-in-progress until you formally submit in full.
You MUST HIT THE "SAVE & CONTINUE" BUTTON in each subsequent session in which you enter new information but do not submit. If you do not either Save or Submit the application in full during that session any new information entered will not be retained.

SUBMISSION OF YOUR APPLICATION: Formal submission of your application occurs when you hit the SUBMIT button and not before, regardless of any information saved pre-submission. NOTE: All fields marked with a red asterisk* are required fields.

POST APPLICATION SUBMISSION EDITS: Once you formally submit your application you will receive a confirmation email that your application has been submitted to the Foundation, along with a NEW LINK for any post-submission edits.

IMPORTANT: ENSURING RECEIPT OF YOUR CONFIRMATION EMAIL: It is strongly recommended that you add our form submission email (noreply@jotform.com) to your email Contacts list prior to Saving or Submitting to ensure receipt. Emails are sent only on Save or Submission. If you did not receive your confirmation email, you may not have fully completed the process, or it is also possible that your email server perceives the confirmation as Spam, and you will need to check your Spam folder.

SECTION 1: 2026-27 Enrollment Information Required to Proceed to the Full Application

Full Name of the INSTITUTION in which you are enrolled in 2026-27:

DO NOT ABBREVIATE

DEGREE / CREDENTIAL PROGRAM in which you are enrolled for 2026-27

Specific Discipline of Degree / Credential Program Above

Ex: Discipline of degree (ex: BA in Philosophy, Masters in Social Work, PhD in Biology, Radiology Certificate, etc)

Brief Description of the Degree / Credential Program Above:

0/100

Institution's 2026-27 Academic Year Start Date

Date

Date You First Enrolled in the Institution Above

Date

Date you EXPECT TO COMPLETE your degree / credential program above (must be on or after April 1, 2027):

Date

I have verified that the institution entered above, in which I am enrolled in 2026-27, is a not-for-profit, accredited institution located in the U.S.

SECTION 2: Applicant Information

FIRST Name

MIDDLE Name

LAST Name

YOUR E-MAIL Address (NOTE: AOL and Yahoo email addresses often cause issues with our system and are not recommended for this application):

Confirmation EmailEmail address of the APPLICANT

YOUR Residential Address:

Street Address

Address Line 2 (Apt #, Floor, etc.)

CityState

Zip CodeCountry

Is your Mailing Address the same as your Residential Address above?

YOUR Mailing Address (if different from Residence):

Street Address

Address Line 2 (PO Box, Apt #, Floor, etc)

CityState / Province

Postal / Zip CodeCountry

YOUR Phone Number:

Enter your phone number including area codeFormat: (000) 000-0000.

YOUR Birth Date

MonthDayYear

Your Age

Social Security Number

PREVIOUS Credential/Degree Completion Information: please provide below the requested information about the highest level of degree/credential that you completed PRIOR TO ENROLLING IN YOUR CURRENT PROGRAM

Education Level/Credential: What is the HIGHEST Credential/Degree that you will have COMPLETED by July 1, 2026

ERROR: We cannot consider applications seeking support for a level of degree that that applicant has already completed: a second associate degree, a second bachelor's, etc, regardless of disciplinary focus. Form Submission has been disabled as the value you entered in the field immediately above is the same level of degree/credential program in which you are currently enrolled. If this was a data entry error, please make the correction to the relevant field to continue.

Date you COMPLETED that Credential/Degree

MonthDayYear

Name of the Institution that awarded that COMPLETED Credential/Degree

Ex:GED, Certificate Type, Discipline of degree (ex: BA in Philosophy, Masters in Social Work, PhD in Biology, etc)

Details of that COMPLETED Credential/Degree

Ex:GED, Certificate Type, Discipline of degree (ex: BA in Philosophy, Masters in Social Work, PhD in Biology, etc)

SECTION 3: Additional Information about the Institution in which you are Enrolled for 2026-27

INSTITUTION Website

example: https://windward.hawaii.edu/

INSTITUTION Mailing Address:

Address

Address Line 2

CityState

Zip Code

INSTITUTIONAL CONTACT Name

Institutional Contact FIRSTInstitutional Contact LAST

TITLE of Institutional Contact listed above:

Example: Administrator, Registrar, Adviser...

E-MAIL of Institutional Contact listed above:

PHONE # of Institutional Contact listed above:

Enter Institutional Contact Phone # including area codeFormat: (000) 000-0000.

CAMPUS ADDRESS of Institutional Contact listed above:

Address

Address Line 2

CityState / Province

Postal / Zip Code

SECTION 4: Tuition and Other Financial Information

What is the TOTAL TUITION ($) applicable to you for the 2026-27 ACADEMIC YEAR

Enter Amount in Dollars ($)

Do You Pay an In-State, Out-of-State, or Private Tuition Rate?

Will Pell Grants fund a portion of your tuition?

Expected Pell Grant Amount

Enter amount in Dollars ($)

If Pell Grants will not be available, why not?

0/50

Have you applied for / will you apply for other scholarships or financial aid from sources other than the Patsy Mink Foundation to support your 2026-27 tuition?

OTHER FUNDING SOURCES you have applied to for support (one line for each source):

If no, why not?

0/50

TOTAL TUITION PAYMENT SUMMARY: Please itemize ALL sources from which you will draw to meet the total tuition cost stated above and the amounts from each source. Be sure to include the expected Pell amount above, all other funding sources you've noted if any, as well as the dollar amount you expect to pay out of pocket. The sum total of all items listed must equal the amount you have entered above in the TOTAL TUITION field

0/100

NON-TUITION ACADEMIC EXPENSES: Please list any other expected Academic Expenses beyond tuition for 2026-27; state total and then itemize/enumerate the expense of each item. Examples in this category include: textbooks, school supplies, technology (laptops, software), and required course/lab fees, etc. Enter "None" if you have no additional Academic Expenses:

Enter total Dollar Amt of Expected Academic Expenses above and beyond Tuition, followed by itemized cost of each item. Examples: textbooks, school supplies, technology (laptops, software), specific course/lab fees, etc.0/100

What is your TOTAL Monthly Income from all sources?

Are YOU the SOLE INCOME SOURCE for your household?

Please itemize YOUR MONTHLY INCOME - list all sources, one line for each source, click "Add Another" to add each new line:

If No, list all OTHER SOURCES CONTRIBUTING to your household's MONTHLY INCOME, one line for each source, click "Add Another" to add each new line:

What is your MONTHLY RENT/MORTGAGE payment:

Enter Monthly Rent/Mortgage in Dollars

Calculation

Your Monthly Rent is higher than your Total Monthly Income, please explain here:

0/100

For tax purposes, ARE YOU A DEPENDENT?

Enter the ANNUAL INCOME of the PERSON WHO CLAIMS YOU as a dependent:

Enter Amount in Dollars

SECTION 5: Household and Personal Information

How many children do you have?

# of children

Do your children live with you?

Enter the ages of your children living with you:

Separate by comma

Including you and your children, how many individuals live in your household?

# of individuals living in household

Your Race/Ethnicity:

Applicant's race/ethnicity

Disability of Applicant or Dependent

Disability of applicant and/or dependent(s)

SECTION 6: Professional/Educational References

Please provide complete information for two professional or educational references such as an employer, supervisor, union representative, teacher, mentor, or colleague.

Professional/Educational Reference #1

Ref 1 Name

First NameLast Name

Ref 1 School or Business

With what institution (school, business, etc) is reference #1 affiliated

Ref 1 Relation to applicant:

How does reference #1 know you (employer, teacher, etc)

Ref 1 Email:

Email address of reference #1

Ref 1 Phone Number:

Phone # of reference #1Format: (000) 000-0000.

Ref 1 Postal Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Professional/Educational Reference #2

Ref 2 Name

First NameLast Name

Ref 2 School or Business

With what institution (school, business, etc) is reference #2 affiliated

Ref 2 Relation to applicant:

How does reference #2 know you (employer, teacher, etc)

Ref 2 Email:

Email address of reference #2

Ref 2 Phone Number:

Phone # of reference #2Format: (000) 000-0000.

Ref 2 Postal Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

SECTION 6: Short-Answer Questions Please respond briefly - in a few sentences, less than 100 words - to the following four (4) questions.

1. What are your educational goals?

0/150

2. How did you decide on this educational pursuit?

0/150

3. Tell us about your educational experience up to now:

0/150

4. How will this Educational Support Award help you accomplish the goals you've shared above?

0/150

SECTION 7: Short Essay

In approximately 500 words, tell us what else you would like us to know about your personal and educational history.

Drag bottom right corner of text box to expand0/1000

Current Date

Date

Please verify that you are human

2026-27 Education Support Award Application