ChoZen Prospects Scholarship Form

ChoZen Prospects Scholarship Application

Scholarships are financial aid awards designed to help students pay for education tuition at an vocational school partnered with Chozen Prospects.
Read and Understand the instructions.*

Yes, I have
Scholarships are awarded to students age 16-19 years of age, after board review and approval. If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Optional Informations : Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)
Gender:

MaleFemale
Are you a US citizen?

YesNo
Ethnic Origin:

HispanicNon-HispanicNot Indicated
Race? (Choose one or more):

WhiteBlack or African AmericanAsianAmerican Indian or Alaskan Native Hawaiian or Other Pacific IslanderNon-Resident Alien
Status at the time of application:

I will graduate this year 2022I have attended college but have less than 32 college credit hoursI will be enrolling into college within the next 6 monthsI am a HIGHSCHOOL/GED graduate with no college credit hoursI have no Highschool Diploma or GED
Are you interested in a career in Healthcare?

Yes I amNo I notUndecided
II. High School Information:
Are you or will you be a May 2022 high school graduate?

YesNo
High School Attended:
Year of High School Graduation or GED:
Most recent cumulative GPA:
High School activities, community activities, volunteer work, honors, offices held:
ChoZen Prospects administers many scholarships designed to offer aid to students that represent unique characteristics. Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for selected scholarships. Please note, if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
Are you between the ages of 16 and 19 years of age?

YesNo
Do you have a disability?

YesNo
Are you a GED recipient?

YesNo
Do you have an Highschool Diploma or a Highschool senior?

YesNo
Do you wish to pursue a Career in Nursing or Healthcare?

YesNo
Were you born outside the USA?

YesNo
If so, what country?
Were your parents born outside the USA?

YesNo
If so, what country?
If interested in a Healthcare career, If selected please select the program you would be interested in attending

Medical AssistantPhlebotomyNurse AssistantEkg TechnicianPatient Care Technician
VII. Essay
Your essay should be 150-300 words. You should address in your essay: Why you would be a good canidate for this scholarship. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration. Please also include information about your support system and how you plan to sucessfully complete the program selected.
Essay:

0/500
VIII. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
ChoZen Prospects is committed to equal opportunity in employment and education. The School does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Should be Empty:

ChoZen Prospects Scholarship Application

I. Personal Data:

II. High School Information:

VII. Essay

VIII. Applicant's E-Signature