Apply for the scholarship

Please fill out the form below to apply for the scholarship.

Please enter your first name.

Please enter your last name.

Please enter a valid email.

For the purpose of this scholarship, 'frontline workers' include healthcare workers, protective service workers (police and EMTs), cashiers in grocery and general merchandise stores, production and food processing workers, janitors and maintenance workers, agricultural workers, and truck drivers.

Please enter your job description.

Please note that you may change your mind and select a different course when it comes time to enroll.

Please enter a desired course.

Please enter a reason for taking course.

We want to get to know you. Please answer this question in a short video up to 60 seconds:

How did you find yourself in your current profession and how has your job impacted your life? How would the opportunity to continue your education help you?

Please upload the video to YouTube, Vimeo, Google Drive, or Box and share the link here.

Please enter a link to your video

Please sign this form

Thank you! We have registered your interest in the scholarship and will be in touch shortly.