Community Adult Continuing Education Scholarship Application

Community Adult Continuing Education Scholarship Application

Apply for financial support to pursue your continuing education goals. Please complete all required sections.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Highest Level of Education Completed
Intended Program or Course of Study
Name of School/Institution/Training Provider
Total Cost of Attendance
Are you enrolled in and/or accepted in the program?

Other
Date Course Starts

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Expected Date of Completion

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Where do you work?
How long have you lived and/or worked in the Grand Canyon?
Personal Statement: 500-1000 words describing your educational/career goals, how this program will improve your employment prospects and how it aligns with workforce needs of Grand Canyon area employers. How the scholarship will help you achieve your goals, and how you intend to contribute to the community upon completion of the program.

0/1000
Have you previously received a scholarship from our program?
If yes, please specify the year and amount received.
I agree to volunteer 5 hours with a non-profit organization within the Canyon if I receive a scholarship.
Signature
Date Submitted

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: