Hubbs Scholarship Application for Post Secondary Education
Students: To apply for a scholarship from this fund, complete this Application Form ONLINE and request your teacher to submit the Teacher Recommendation Form online also.

Applications should be submitted no later than May 1. Late and/or incomplete applications will not be considered.
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Student Data
First Name *
Last Name *
Address *
City *
State *
Zip *
Telephone *
Email *
Financial Data
Dependents *
Total Number of Household Members claimed as Dependents by Applicant (not including applicant)
Dependent Children *
Number of dependent children under 18
Dependent Adults *
Number of dependent adults (specify adult's relationship to applicant)
Household Income *
Total Annual Household Income
Adult Basic Education Program Data
Program *
Adult Basic Education Program Completion Date *
(or estimated completion date)
Recommending Teacher(s) -  you must talk to your teacher and ask them to submit a recommendation *
Post Secondary Education Data
I intend to enroll in the following degree-granting school: *
School Name
School Address *
Expected Enrollment Date *
Have you applied yet? *
Have you been accepted yet? *
Why did you choose this school? *
Have you taken and passed the appropriate entry exams for the program you wish to enter? *
What test did you take and what was your score? *
Enrolling Full Time or Part Time? *
Please note: the scholarship will be cancelled if not used within one year of the award date.
My intended area of study is: *
Expected Completion date and type of degree: *
Briefly describe any special circumstances (financial or other) that may affect your pursuit of further education.
Essay *
Describe your educational goals and what influenced you in setting these goals. What are your career goals? How do you think accomplishing your goals will affect your contributions to a community? Consider community in its broadest sense. This could be a geographic community but it could also be a community of school, faith, culture, etc.    
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