Certified Nursing Assistant/Home Health Aid Scholarship
Student Demographic Information
If yes, where did you attend college or vocational school? *Specify name of program and level of education or certification reached.
Financial Need Statement
Do you attest that you have a financial need for this scholarship, meaning that you have no other means of paying for tuition such as other grants, scholarships, awards, educational savings, etc.?
All applicants must submit at least 1 and up to 2 reference letters with this application. The letter can come from a high school counselor or teacher, a manager who works in home health or homecare, or a current or previous employer. Please submit this letter(s) at the end of this application package.
Please give the name(s) and contact information for the person providing your letter.
Please answer the following questions.
I hereby certify that the information I have provided on this application form and any attached materials is true and correct.