IFSER Sonography Student Scholarship 2018 Online Application
Scholarship Applicant Information
Applicant's Full Name (Last, First, MI) *
Mailing Street Address *
City, State, Zip *
Daytime Phone: *
Email Address: *
Sonography Program Acceptance/Enrollment
Name of the Sonography Education Program you are currently enrolled: *
Name of the DMS Program Accreditation organization *
DMS Program's Accreditation Number: *
What type of sonography program are you enrolled in? *
Anticipated Graduation Date: *
Program Director Daytime Phone: *
Program Director Name and Email and Address: *
Do you currently have a degree? *
If you answered yes to the previous question, please list the type of degree you currently hold (e.g. AAS, BA, MS, etc.)
Financial Information
Are you currently receiving financial aid? *
Have you applied for and financial aid? *
Have you previously received a scholarship from IFSER? *
If you answered yes to the previous question, please list the year of receipt:
Please provide your TOTAL expenses for the upcoming year in the space provided. The next several questions will provide a breakkdown of that TOTAL cost you just listed. *
What is your expected tuition expenses for the upcoming year? *
What are your expected book expenses for the upcoming year? *
How much do your expect to pay for program uniforms, transportation for the upcoming year (list separately)? *
List any additions expenses not mentioned above. *
Are you currently employed? *
Have you done any volunteer, community service or outreach for ultrasound or any other organization within this calendar year? *
If you answered yes to the above question, please refer to #6 on the Scholarship Guidelines and Policy document
In 100 words or less, why should the IFSER Scholarship Committee consider your application for the scholarship.
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