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Please provide all information requested. Type directly into this form.
SECTION 1: APPLICANT INFORMATION
First name:
*
Middle name:
*
Last name:
*
Current address:
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City:
*
State:
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Zip code:
*
County:
*
Email:
*
Home phone:
Cell phone:
Employer (Name, Address)
Immediate Supervisor or contact to verify employment (Name, Position, Phone Number, email)
SECTION 2: NARRATIVE
Provide a brief written response (no more than 1 page) or a 5 minute video responding to the following questions:
How do you plan to use your scholarship?
Why is this work important to you?
Personally, professionally, what drives you to do the work that you do?
If you receive this scholarship, what is the impact you want to have?
What is the change you want to see because of your work?
How will you use your education/certification?
Who will be served by your work?
Is there any particular financial need or personal hardship or experience that you have faced/are facing that we should be aware of?
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*
SECTION 3: SUPPLEMENTAL MATERIALS
Please provide (or upload) the following materials:
Copy of Driver’s License (proof for living in the city of Detroit)
1 Letter of Recommendation from current employer or someone that can speak to your character. (The letter must be signed, dated, on letterhead, and have the contact information of the writer)
Proof of acceptance into an educational institution and/or certification program with a curriculum focused on child care development, education, or senior care, OR a completed Registration for a professional development, advanced education or certification opportunity
Resume
This scholarship form signed and completed
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*
SECTION 4: VERIFICATION
I attest that everything that I have submitted is accurate and true to the best of my knowledge. If I do receive a grant, I will send documentation – such as photos or video – of the project this grant supports.
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Last
Date
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About
Who We Are
Our Mission
What We’ve Done
Board Members
Grants
Guidelines/Application
Past Recipients
Media Release Form
Scholarships
Apply
Donate To A Scholarship
Events
News
Contact
Donate
All Donations
Scholarships
Century Club
Submit Donation Forms