Scholarship Application If you answer no to the next 2 questions you will not be able to proceed with the application.You must be accepted by one of our strategic partners and you must be a female with a financial need.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 No 2: 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 No 3: What is your start date?(Required) MM slash DD slash YYYY 4: Please upload proof of acceptance or enrollment. (Please upload official acceptance letter here)(Required)Max. file size: 8 MB.5: Name(Required) First Last 6: Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 7: What county do you reside in?(Required) 8: Email(Required) 9: Where have you been accepted and which program of study?(Required) 10: Phone Number(Required)11: What is your total household income?(Required) Less than $10,000 $10,000-$19,999 $20,000-$29,999 $30,000-$49,999 $50,000-$59,999 $60,000 or more 12: Have you applied for WIOA (Workforce Innovational And Opportunity Act)? The Workforce Innovation and Opportunity Act (WIOA) is a federally funded program. WIOA funds are available for dislocated workers, low-income individuals & out-of-school youth. The funds are administered specifically through services geared toward helping disadvantaged citizens obtain meaningful employment.(Required) Yes No 13: If you have not applied for WIOA, please explain in detail. (ie. Not eligible, didn't know about it, etc.)(Required)14: If you answered yes concerning applying to WIOA, what were the results of your WIOA Application?(Required)15: Are you currently receiving any form of financial assistance? If so please explain.(Required)16: Are you currently Employed?(Required) Yes No 17: If you are employed, please provide where and how long you have been employed with your current employer.(Required) 18: If you answered no to being employed, please give previous 2 year work or educational history.(Required)To help us better understand our target audience, would you please answer the following questions?19: Last Grade Completed(Required) 20: Birth Date(Required) MM slash DD slash YYYY 21: 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 If other, please list here 22: Tell us about yourself. Help us walk a mile in your shoes and tell us about your life.(Required)23: Last School Attended & Year(Required) 24: What challenges have you faced in obtaining your educational goals such as your GED or High School Diploma? How has your life changed due to this experience? Please explain.(Required)25: What are your education, life and career goals? (Please give a detailed answer.)(Required)26: Tell us about your biggest accomplishment in pursuing your educational and/or employment goals?(Required)27: Briefly explain how your new educational opportunity will help you overcome your current barriers? (ie. childcare, transportation issues, housing, financial, etc.)(Required)28: Are you involved with any community service and/or volunteer work? How might you use your new skills and training to make an impact in the community in the future?(Required)29: Please share any additional information about you and how it might set you apart from other applicants.(Required)30: 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 No 31: 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. 32: How did you learn about this scholarship?(Required) Instructor Career Coordinator Website Other If other, please list here Please review all your answers in the application prior to submitting. If all questions are not answered, your application will not be reviewed for consideration.You must be accepted by one of our strategic partners and you must be a female with a financial need to continue with this application.
