Scholarship Application

If you answer no to the next 4 questions you will not be able to proceed with the application.

To proceed with this application, you must fulfill the following criteria: acceptance by one of our strategic partners, residence within the specified Northeast Georgia Counties, and identification as a female applicant demonstrating financial need. Please ensure that all questions on the application are answered thoroughly and comprehensively. You may use AI to assist you with completing this application but if is it used for more than 80% you will be immediately disqualified from the scholarship.

1: The Ashton Hope Keegan Foundation’s charter is to provide scholarships and material support to women (with a financial hardship) pursuing either their GED, Certification (ie. Technical 2 year Certification Training within the NE Georgia area). I certify that I am a female seeking financial support to attend technical training with one of our partners.(Required)

Yes

2: To be eligible for the Ashton Hope Keegan Foundation scholarship, please confirm that you satisfy the geographical criteria specified in the Foundation's charter. The Foundation serves women in the following counties: Banks, Barrow, Clarke, Elbert, Franklin, Greene, Hart, Jackson, Madison, Morgan, Oconee, or Oglethorpe County.. Do you affirm that you currently reside in one of these designated counties?

Yes

3. In what county do you reside?(Required)

4: Have you been accepted into a formal training/certification program? We do not provide scholarships directly to students, but instead provide the money in the students’ names to the educational institutions.(Required)

Yes

5: What is your start date?(Required)

MM slash DD slash YYYY

6: Please upload proof of acceptance or enrollment. (Please upload official acceptance letter here)(Required)

Max. file size: 8 MB.

7: Name(Required)

First Last

8: Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

9: Birth Date(Required)

MM slash DD slash YYYY

10: Email (Personal)(Required)

11: Phone Number (Personal)(Required)

To help us better understand our target audience, would you please answer the following questions?

12: Which of these best describes you?(Required)

Asian or Pacific Islander

Black or African American

Hispanic or Latino

Multiracial or Biracial

Native American or Alaskan Native

White

A race/ethnicity not listed here

Prefer not to Answer

Other

12a: If other, please list here

13: Highest level of education completed or partially completed.(Required)

Some High School

High School Diploma

GED

Technical or Occupational Certificate

Associates Degree

Some College Coursework Completed

Bachelor's Degree

Other

13a: If other, please explain here

14: Where have you been accepted?(Required)

Athens Technical College

Connect Care Medical Training Institute

Innovative Healthcare Institute

Medical Institute of Northeast Georgia

One Breath CNA

14a: Please specify the program of study to which you have been accepted.(Required)

Household & Financial Support Information

To better understand your financial need, please provide detailed information about your household, income, and those who rely on your financial support.

15: Household Dependents: Please describe the individuals in your household who depend on your income. Include who they are (e.g., child, grandparent, or other family member), their age, and why they rely on your support. Please be detailed, not just numeric.(Required)

16: Total Household Income: What is your total household income? Include all sources of income such as wages, child support, public assistance, or help from friends or family.(Required)

16a: Your Personal Income: How much do you personally earn (before taxes)? Include regular income from jobs, freelance work, or any other sources.(Required)

16b: Who You Live With (If Dependent): If you are a dependent, who do you live with? Include their names, relationship to you, and whether they help support you financially.

17: Are you seeking this scholarship for financial support, material assistance, or both? Please select one of the following options. (If your applied program includes materials, please choose scholarship only)..(Required)

Scholarship Only

Material Assistance Only

Both Scholarship and Material Assistance

18: If you have selected 'Material Assistance Only' or 'Both Scholarship and Material Assistance,' please describe your specific needs, directly related to this course of study, in the box below. Examples -Textbook: $100-300(per textbook, depending on subject and edition); Scrub Set (top & Bottom): $20-$50 (per set); Veterinary Vaccinations: $50-$150(Required)

Materials support will be disbursed exclusively to the school or program. We do not offer funding directly to individual applicants for materials.

19: Are you currently receiving or have you applied for any financial assistance (e.g., food stamps, housing vouchers, grants, scholarships, WIOA, WIC, SNAP, Medicaid, TANF, disability, veterans benefits)? If applicable, also note any applications or eligibility for educational benefits from government or private programs.(Required)

20: Are you currently employed?(Required)

Yes

21. Please describe your employment and/or education history over the past two years.(Required)

Include the following details for each position or program, if applicable:

Start and end dates (e.g., Jan 2023 – Dec 2023)
Name of employer or school
Job title or program name
Monthly income (if employed) before taxes
A brief description of your responsibilities or coursework

You may include multiple entries in your response. If you were not employed or enrolled in school during part of this time, please explain why.

PERSONAL QUESTIONS – Life Experiences & Goals

The Ashton Hope Keegan Foundation is committed to supporting women who are working to transform their lives through education and training. Your personal statement helps us understand your journey, your goals, and how this scholarship can support your success.

This is one of the most important parts of the application. Please be thoughtful and detailed in your responses.

We understand tools like AI can help generate ideas, but your answers should reflect your own experiences and personality. What sets you apart is your voice — your courage, your drive, and your story. Please write from the heart.

22: Life-Shaping Experiences: What important life experiences, personal challenges, or turning points have shaped who you are? How do these influence your education and career goals? (Examples: caregiving, overcoming hardship, etc.)(Required)

23. Educational Challenges: What challenges have made it difficult to pursue your education or training (e.g., life choices, finances, family responsibilities)? What steps have you taken to overcome them?(Required)

24: What financial hardships are preventing you from achieving your educational and employment goals?(Required)

25: Tell us about a meaningful accomplishment in your education or work experience. What goal did you achieve, and what steps did you take to reach it? Please include as many details as possible—what you learned, any challenges you overcame, and why this accomplishment is important to you(Required)

26: Community Service & Future Impact: Are you currently or have you contributed to your community through volunteering, caregiving, mentoring, or other involvement? How would this scholarship help you give back in the future?(Required)

27: If you were to be chosen for the scholarship, would you be willing to speak to others about your success to encourage them to also succeed?(Required)

Yes

28: The program will not release information about you, your whereabouts, or photos to anyone without your consent. Please select one of the choices below.(Required)

The program has my permission to utilize my photos on the website and/or in media releases.

I would like to opt out and not have my photo on the website or in media releases.

29: How did you learn about this scholarship?(Required)

Instructor

Career Coordinator

Website

Other

29a: If other, please list here

Signature (Your typed name serves as your signature. I declare that all information provided in this application is true, complete, and accurate to the best of my knowledge. I further affirm that I have not utilized more than 80% artificial intelligence in formulating my responses. I understand that any misrepresentation or omission of information may lead to disqualification from consideration for this application.)

Date

MM slash DD slash YYYY

Please review and make sure you have thoroughly answered all the questions in the application prior to submitting. If all questions are not thoroughly answered, your application will not be reviewed for consideration.

To proceed with this application, you must fulfill the following criteria: acceptance by one of our strategic partners, residence within the specified Northeast Georgia Counties, and identification as a female applicant demonstrating financial need.

Scholarship Application

If you answer no to the next 4 questions you will not be able to proceed with the application.

To help us better understand our target audience, would you please answer the following questions?

Household & Financial Support Information

PERSONAL QUESTIONS – Life Experiences & Goals

Please review and make sure you have thoroughly answered all the questions in the application prior to submitting. If all questions are not thoroughly answered, your application will not be reviewed for consideration.

To proceed with this application, you must fulfill the following criteria: acceptance by one of our strategic partners, residence within the specified Northeast Georgia Counties, and identification as a female applicant demonstrating financial need.

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