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Scholarship Details


This is a very competitive scholarship designed to assist low-income single mom families while the mom is earning her college degree. In addition to financial assistance, we provide other program services to our scholarship recipients. Services received will depend on the level of scholarship a student receives from our organization. If you are just starting your first semester of college classes, it is best to wait until you have completed at least one full semester (of nine or more credit hours) before you apply.

- NURSING STUDENTS: You must either be on the waiting list OR have already begun nursing school in order to apply.
- ALL STUDENTS: All candidates must meet the requirements listed below, under SCHOLARSHIP REQUIREMENTS.**

**ALL applicants must meet the following criteria:

SCHOLARSHIP REQUIREMENTS


-Have US Citizenship
-Be legally single / divorced and may not reside with a domestic partner
-Registered in college and have a cumulative GPA 2.8 or better
-Carry minimum of nine (9) credit hours per semester
-Have at least one child under age 11 living with you
-Attend and participate in the regularly scheduled meetings
-Be a responsible and responsive program participant

Remember to review your application for correct information, spelling and grammar before submitting it for consideration.

Your Data
Application Date
* First Name
* Last Name
* Address 1
Address 2
* City
* State
* Zip Code
* Phone Number
* Email Address
Alt. Phone
* Date of Birth
Are you the first in your family to attend college?
* Are you a citizen of the United States?
* Have you ever been convicted of a felony?
If yes, please explain
Children
* Number of Children
* Child 1 Date of Birth
Child 2 Date of Birth
Child 3 Date of Birth
Child 4 Date of Birth
Child 5 Date of Birth
Child 6 Date of Birth
Education Information
School Attending
* Current program or area of study
* Cumulative GPA
How many credit hours have you completed?
* Expected Date of Graduation
If you did not complete High School, have you received your GED?
Previous College(s)
Previous College 1
College
Location
Start Date
End Date
Did you graduate?
Degree
Previous College 2
College
Location
Start Date
End Date
Did you graduate?
Degree
Personal References
Reference 1
* Full Name
* Relationship
* Phone
* Address 1
Address 2
* City
* State
* Zip
Reference 2
Full Name
Relationship
Phone
Address 1
Address 2
City
State
Zip
Employer(s)
Most Recent Employer
* Employer
Phone
Supervisor
Address
Address 1
Address 2
City
State
Zip Code
Employment Details
Start Date
Reason for Leaving
End Date
May we contact your most recent supervisor for a reference?
Ending Salary
$
Title
Previous Employer
Employer
Phone
Supervisor
Address
Address 1
Address 2
City
State
Zip Code
Employment Details
Start Date
End Date
Reason for Leaving
May we contact your previous supervisor for a reference?
Ending Salary
$
Title
Military Service
Branch
Start Date
End Date
Rank at Discharge
Type of Discharge
If other than honorable, please explain
Personal Financial Status
Current monthly income (including assistance from parents, friends or other source)

* From work, before taxes
$ per month
* From parents, child support, or other sources
$ per month
* How would you rate your credit:
* Are you currently receiving TANF cash assistance funds from the government?
Lifestyle Status
* Marital Status
Date of Finalization
With whom do you and your children currently live? (Names)
Please check:
Do you currently receive any kind of support from them? (food, clothing, childcare, transportation, internet, etc.)
Please explain:
Career Plans
* What is your educational major and your career goal?
Past Accomplishments
* Please tell us about all past accomplishments: awards, participation in clubs, youth organizations, sports or volunteer experiences:
Essay
Please write a short essay that answers the question "Why would you make a good candidate for this program?" We recommend you write your essay in a separate document and upload it using the button below. If this isn't possible, feel free to type directly into the box.

Essay
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Disclaimer: By pressing submit, I certify that my answers are true and complete to the best of my knowledge. If this application leads to a Helping Hands for Single Moms scholarship, I understand that false or misleading information in my application or interview may result in my release and possible repayment of scholarship.