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If applying as incoming freshman, GED or HIgh School documentation is required.

Please list your community involvement, volunteer activities, as well as an honors, awards, or special recognition that you have received.

Please describe your goals, primary motivation for achieving a degree or certificate, and include any information you feel would be appropriate for consideration by the selection committee.


(All Financial information is confidential)

Scholarships are awarded on the basis of financial need and ability to complete your degree. Your FAFSA results validate your financial need and is required to apply for this scholarship. If you have not applied, please do so immediately at Free Application for Federal Student Aid. (Link will open in a separate browser window.)

If so, please list blow

Employment Information

List your most recent jobs from most recent, to older.

Please check one.
Please check one.


All documents required at time of submission. No applications will be accepted after March 4, 2021.

Please upload the following files in a PDF or WORD format. Your school transcripts must have your name and student ID number on each page. (If you are a Dixie student - go into your Dixie account on "My Dixie" and login and order official transcripts electronically through the Dixie website).

Any questions regarding the application, email

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