All information obtained through this application will be stored in a secure location. Identifying information will be accessible to the Scholarship Award Committee for the purposes of determining awards. Afterwards, your name will be removed from the application. No one other than the Behavioral Health Scholarship coordinator, Dr. Robert Herman-Smith, will be able to link names with responses.
Please provide the following information. This information will not be used to determine your eligibility for the scholarship but is required by HRSA, the funding agency.
I graduated from a high school with SAT scores that were below my state’s average. You can google for an estimate or use the link below. (If the link does not work from here, copy and paste it into your browser).
I self-identify as:
By entering my initials below, I attest that all information provided on this application is true to the best of my knowledge. I understand that providing false information may result in forfeiting the Behavioral Health Scholarship if I am found eligible. I also understand that the scholarship award is subject to the availability of funding for the year I am applying.