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Diversity Scholarship Application
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* Indicates required question
Email
*
Your email
Your First and Last Name
*
Your answer
Your Email Address
*
Your answer
Your Phone Number (someone will be reaching out to you via text and/or email)
*
Your answer
What is your background
*
Your answer
What are the dates of the training of which you are hoping to attend
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Your answer
If you are not selected for the training dates of your choice would you like your application to be considered for future trainings for up to 1 year
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Your answer
If you are selected, how do you intend to utilize the next level curriculum in your life family and community
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Your answer
Who referred you to this scholarship? If no one leave blank
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Your answer
Do you have a financial need for the scholarship
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Yes, I would not be able to atttend without the scholarship
Yes, but I could pay partial tuition
No
You are applying for a scholarship for a full journey program. Our scholarship covers part one and two, you're expected to attend part three. Are you willing to attend the full journey?
*
Yes
Yes, but I'm not sure how I can create it
I'd like to talk to someone about this
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