Saint Joseph’s College / DeMotte Chamber Scholarship

Field of Interest

What certificate program are you applying for?

Which program do you wish to apply? (choose only one) *

Applicant's Information

Applicant's Name *

First

Last

Applicant's Mailing Address *

Address Line 1

City

State

Zip Code

Applicant's Email *

Applicant's Phone Number *

Education History

Cumulative High School GPA (on a 4.0 scale) *

Attach proof of your GPA using the file upload feature below. Your most recent school transcript is required.

File Upload *

Click or drag a file to this area to upload.

Are you the first person in your family to go to college? *

Yes
No

Name of High School and Location *

Do you have previous college credits? *

Yes
No

List any academic honors, awards and membership activities while in high school: *

If none, type "none"

List your hobbies, outside interests, extracurricular activities and school related volunteer activities: *

If none, type "none"

List your non-school sponsored volunteer activities in the community: *

If none, type "none"

Essay Section

Describe what interests you about your requested field of study and why? *

How are you going to utilize gaining a certification as a healthcare professional in your future? *

What motivates you to attend an accelerated certification program? *

Describe your financial need and why this scholarship is important to you. *

Financial Information

Family Gross Income from your 2022 Income Tax Form 1040 Line #22 *

If selected, recipients may be asked to verify annual household income if under $75,000 by supplying pg. 1 of their 2022 IRS Income Tax Form.

Have you ever utilized state funding for any college courses? *

Yes
No

Statement of Accuracy for Students

Signature *

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that if chosen as a scholarship recipient my picture may be taken and used to promote the College’s scholarship program. (Recipient may waive photo due to unusual or compelling circumstances.) I hereby understand that if chosen as a scholarship recipient, according to Saint Joseph’s College Scholarship policy, attendance must be demonstrated at least 90% or above. Noncompletion of any Health Sciences Certification Program funded via scholarship will result in student responsibility of full program price. I hereby understand I will not submit this application without all required attachments and supporting information. Incomplete applications or applications that do not meet eligibility criteria will not be considered for this scholarship.

Saint Joseph’s Full Ride Scholarship

Field of Interest

Applicant's Information

Education History

Essay Section

Financial Information

Statement of Accuracy for Students

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