• Scholarship Application Form

    The application deadline - March 31st, 2022
  • If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.

  • I. Applicant Data:

    Tell us about yourself
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    Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards. 

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  • II. High School Information:

  • May 2022 high school graduates are eligible for consideration for summer scholarships in addition to fall-spring awards. Accepting a summer award obligates you to attend in the following fall and spring.

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  • III.Questions

  • IV. Applicant's E-Signature

  • By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
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  • Altus Emergency is committed to equal opportunity in employment and education. Altus Emergency Centers does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.

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