SDHSA Staff Scholarship

The SDHSA Staff Scholarship of $150 is awarded annually to a Head Start Staff member who shows dedication towards advancing their education. The staff member must be from an SDHSA member program. Application Deadline is January 31st of each year.

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* 1. Please provide the following information

Name: *

Address: *

City/Town: *

ZIP:

Email Address:

Phone Number:

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* 2. Local Head Start Program:

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* 3. Has the applicant received this scholarship in the past?

Yes

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* 4. Employment Information

Applicant Job Title

Number of Years working for program selected above

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* 5. Class/Training Information

Name of Class

Where Class will be taken

Cost of Class

Additional Costs

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* 6. Other Funding

Will you be receiving any other form of funding to compensate costs?

If Yes, please explain other funding sources.

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* 1. Please provide the following information

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* 2. Local Head Start Program:

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* 3. Has the applicant received this scholarship in the past?

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* 4. Employment Information

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* 5. Class/Training Information

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* 6. Other Funding

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* 7. How will this scholarship be used to your benefit?