Future Healthcare Heroes Fund Application

The Future Healthcare Heroes Fund is a donor-funded appeal aimed at helping students who were severely impacted by the COVID-10 pandemic. The funds will support students who have experienced layoffs, reduced hours and other economic hardships as a result of the pandemic and are now in need of financial support to continue their education. Award amounts may vary and will be distributed in the form of tuition assistance.

Deadline to apply is July 31, 2020. Award decisions will be made as the applications are received and continue until the fund is depleted.

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Program*
Expected Graduation Month/Year (example: May 2021)*
Status of FAFSA for the academic year 2020-2021*
- Completed
- Not Completed
Please explain your circumstances of financial hardship caused by COVID-19 (maximum 3000 characters w/spaces):*
Amount of support requested:*
Please upload any supporting documentation you feel would help the committee understand your situation:
Drop files here or

Accepted file types: jpg, pdf, docx, Max. file size: 4 MB, Max. files: 2.
Limited to 2 files at no more than 4MB each.
I acknowledge:*
That integrity is one of the values of Bellin College. I have experienced financial hardship due to the COVID-19 pandemic, which has caused me to consider whether I can start/return to my education at Bellin College.
I understand:*
That all funds awarded will be in the form of tuition assistance to attend courses at Bellin College.
Date*
MM slash DD slash YYYY

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Future Healthcare Heroes Fund Application

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Future Healthcare Heroes Fund Application

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