Where Education Meets Flexibility

Scholarship Application Form

Please fill out the form below to apply for the J. Bernard Schmidt Scholarship. Once you complete the application and click the "SUBMIT" button, a copy of your applicaton will be sent to the email address you provide below. Please note that your two reference forms and your official transcripts must be submitted to complete your applicaton.

General Information
First Name
Last Name
Academic Information
Hours
Financial Need Information
$
$
$
%
%

Please List The Amounts Of Each

$
$
$
Essay

Please write an essay (200-300 words) demonstrating your need and clarifying how your program through the Dixon University Center will help you contribute to the Capital Region community. If applicable, describe your professional work background and experience.

  1. Describe your community leadership activities. Indicate if a volunteer activity.
  2. What are your short and long range career goals and objectives?
  3. What attracted you to your program at Dixon University Center as a vehicle for achieving your goals?
  4. How will your career goals and objectives contribute to the Capital Region community?
Files must be less than 2 MB.
Allowed file types: pdf doc docx.

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