The MOMentum Network Scholarship Program Application
Currently, we are accepting applications for single moms in college, who live in Chattanooga and the surrounding cities of the Greater Chattanooga area. (NOTE: if you are an online student, you must live in the Greater Chattanooga area).

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.**

Scholarship Details
This is a very competitive scholarship designed to assist 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.

**ALL applicants must meet the following criteria:

Have US Citizenship and reside in the Greater Chattanooga area
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.

Scholarship Application Checklist
Only complete applications will be considered. Please make sure you have submitted each item and reviewed the Success Program Schedule.

Please read through this application and respond thoroughly and honestly. Participation in the program is required for all full scholars. Consider your Fall Semester schedule BEFORE applying. If the dates of the Success session do not work with your schedule, contact us BEFORE the application deadline. We may be able to offer a second option if a majority requires it, but we cannot plan ahead without prior notice. If you are chosen for the program but cannot attend sessions, you may still qualify for some, but not all program benefits.

Applications are accepted throughout the year, but will be reviewed before the Fall Semester & Spring Semester as space becomes available.

The Success Program
The Success Program is a monthly leadership development program that covers key areas related to achieving success as a single parent in college. Each session is open to a small group of single moms enrolled in college. TMN Scholars must attend all four Success sessions each semester as well as an entrance and exit interview.*

The TMN Scholars will receive a scholarship disbursement of up to $100 per month with Success Program participation and full-time enrollment.

*If Scholar misses a session due to illness (self or child) or other emergency to be disclosed and determined by TMN Program Manager or Staff to be unavoidable, session may be made up by setting an appointment with Program Manager within a time frame deemed acceptable if possible. If session is not made up, Scholar may forfeit monthly incentive. Repeat absences will result in ineligibility of Scholarship and forfeiture of full amount of scholarship.

Momentum Session Schedule *
Each session is scheduled on the second Saturday of each month from 10am-Noon. Onsite childcare and homework help is available for children up to age 11. Attendance is also required at our end of year celebration slated to be held on Thursday May 2, 2019 from 6-9pm. The following list are the classes scheduled for next year. By checking beside these dates, you acknowledge have made note/added them
Required
Applicant Data
Full Legal Name *
Your answer
Email Address *
Your answer
Date of Birth *
MM
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DD
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What college do you currently attend? *
Your answer
Current Year in School *
Anticipated graduation date *
Your answer
Current Residence Information
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Primary Phone Number *
Your answer
Parent/Guardian Residence Information
Please complete the following section. City & State are required responses. If both parents are deceased, you may write "deceased" in the box.
Do you receive support from your family? *
Name of Parent(s): *
Your answer
Parent's Address: *
Your answer
Parent Email:
Your answer
College Enrollment History
By completing this section, you state that the following information is accurate & complete and give The MOMentum Network permission to verify with your college at any time before, during or after your involvement in this program.
College Enrollment Date *
MM
/
DD
/
YYYY
Student ID Number *
Your answer
Intended Major *
Your answer
Current Cumulative GPA on a 4.0 Scale *
Your answer
Most Recent Semester GPA on a 4.0 Scale *
Your answer
What are your possible career or professional plans? *
Your answer
Why are you pursuing this career? *
Your answer
Is there anything related to your current GPA or academic record that you would like to explain or give us more information on?
Your answer
Parent's Education Level *
Required
High School(s) Attended
High School Name *
Your answer
Number of Years Attended *
Your answer
Did you receive a diploma? *
High School 2 Name
Your answer
Number of Years Attended High School 2
Your answer
Did you receive a diploma?
Other Colleges Attended (if applicable)
College 1 Name
Your answer
Number of Years Attended at College 1
Your answer
Number of Credits Earned at College 1
Your answer
If you earned a degree at College 1, please specify the degree earned
Your answer
College 2 Name
Your answer
Number of Years Attended at College 2
Your answer
Number of Credits Earned at College 2
Your answer
If you earned a degree at College 2, please specify the degree earned
Your answer
Financial Data
Please list any expenses you expect to incur each semester (approximate figures acceptable).
How much is your current college tuition? *
Your answer
How much do you currently spend on books per semester? *
Your answer
How much do you currently spend on room and board/rent per semester? *
Your answer
How much do you currently spend on childcare per semester? *
Your answer
Other Expenses/Comments? *
Your answer
Current Financial Income
Please list your income or others sources of financial assistance. (Remember you must include a copy of your Student Aide Report or proof of FAFSA submission.)
Current Employer: *
Please list name, address & phone number of employer.
Your answer
How long have you been employed/unemployed in your most recent position? *
Your answer
What is your current income from employment? (If unemployed, write "N/A") *
Your answer
Have you received other scholarships? *
If so, to what total amount?
Your answer
How much have you received in student loans? *
Your answer
How much financial assistance have you received from family/friends? *
Your answer
Other Financial Resources/Comments?
Your answer
Family Data
Please list your child/children's names and date of birth:
Child 1 Full Name *
Your answer
Child 1 Date of Birth *
MM
/
DD
/
YYYY
Child 1 Age *
Your answer
Child 1 Gender *
Child 2 Full Name
Your answer
Child 2 Date of Birth
MM
/
DD
/
YYYY
Child 2 Age
Your answer
Child 2 Gender
Child 3 Full Name
Your answer
Child 3 Date of Birth
MM
/
DD
/
YYYY
Child 3 Age
Your answer
Child 3 Gender
Child 4 Full Name
Your answer
Child 4 Date of Birth
MM
/
DD
/
YYYY
Child 4 Age
Your answer
Child 4 Gender
Home Life
With whom do you and your children live with? *
List all names along with relationship (ie. Jane Smith, mother; John Smith, father, etc):
Your answer
Are you interested in living in community near campus when available? *
We are exploring offering affordable apartments for MOM families close to campus.
Schedule & Availability
What is your current work/class schedule *
Your answer
Extracurricular, Personal and Volunteer Activities
What are your educational and professional goals and objectives? *
Your answer
List all academic honors or awards from high school or college.
Your answer
List any community service activities, extracurricular activities, hobbies, and/or outside interests.
Your answer
How did you find out about The MOMentum Network? *
Required
Personal Essays
Briefly describe a circumstance, obstacle or conflict in your life and the skills and resources you used to resolve it. Did it change you? If so, how? *
Your answer
Please write a short essay that answers the question "Why would you make a good candidate for this program?" *
(1,000 words or less)
Your answer
References
[Reference 1]: *
Your answer
[Reference 1] Relationship: *
Your answer
[Reference 1] Email *
Your answer
[Reference 1] Phone: *
Your answer
[Reference 2]: *
Your answer
[Reference 2] Relationship: *
Your answer
[Reference 2] Email *
Your answer
[Reference 2] Phone: *
Your answer
I also hereby understand that I am agreeing to the following: *
(Please check all for confirmation of agreement)
Required
Signature of Applicant *
Type Full Name Here
Your answer
Date: *
MM
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DD
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YYYY
The following items will be requested to be provided before the Scholar interview. *
Check below to affirm that you will provide these upon request.
Required
Thank you for taking the time to complete this application. We will follow up with next steps if you are selected for our program.
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