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w2f2g7ss8GVZYeUcVgIInfmzbXjNbZAmPkCZRz8z9V5zGnpWLFWgechu6aSZCf7KvMUVDGWFJHhuVqS92vkEmnhEt

2022 HRSA OT Scholarship Application

Returning?

Application Deadline: March 1, 2022 by 9pm EST

Questions? Email Randal Davis: davisra@musc.edu

M-D-Y

Yes

Yes

Yes

Female

Male

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Hispanic

Non-Hispanic

Prefer Not to Answer

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African American

American Indian or Alaska Native

Asian

Native Hawaiian or Other Pacific Islander

White

More Than One Race

Prefer Not to Answer

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Current Financial Need:

All applicants MUST file a FAFSA: Free Application for Federal Student Aid and must FAFSA results must indicate a need for aid (and need for aid includes expenses beyond tuition such as rent, food, transportation, etc.).

If you have not yet filed a FAFSA, please proceed with completing this application and then follow this link to file your FAFSA.
https://studentaid.gov/h/apply-for-aid/fafsa

Note: this DOES NOT mean that you have to accept any aid offered

Yes

No, but I will ASAP

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HRSA does not require a scholarship recipient to meet any of the metrics for Economic Disadvantaged but DOES REQUIRE the following tax information from ALL APPLICANTS:

HRSA definition of "Independent" - at least 24 years of age at the time of application submission, AND NOT listed as a dependent on his/her parents' individual income tax for the preceding 3 tax years (ALL 3 YEARS).

If Independent: attach YOUR individual income tax returns for tax years 2018, 2019, 2020 (in PDF format) - Form 1040 or 1040A only

If dependent: attach your PARENTS' individual income tax returns for tax years 2018, 2019, 2020 (in PDF format) - Form 1040 or 1040A only. Follow FAFSA guidance for questions relating to definitions of "legal parent(s)" at: https://studentaid.gov/apply-for-aid/fafsa/filling-out/parent-info

Independent

Dependent

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First generation in my family to graduate from college (this must be indicated on your FAFSA) defined as "a student both of whose parents did not complete a bachelor's degree, or in the case of students who live with and are supported by only one parent, a student whose only such parent did not complete a bachelor's degree."

Graduated from a public high school in which more than 50% of enrolled students were eligible for free/reduced-price lunch

Graduated from a public high school in which ACT/SAT scores are lower than the state's average

Graduated from a high school located in a Primary Care HRSA-designated Health Professional Shortage Area (HPSA) and/or HRSA-designated Medically Underserved Area/Population (MUA/P)

None of these apply

Free or Reduced-Price Lunch:
Follow this link: https://nces.ed.gov/ccd/schoolsearch/
Add the numbers in the Enrollment Characteristics section for: Free Lunch Eligible and Reduced-Price Lunch Eligible (do not include Directly Certified). Divide that number by Total Students in the School Details section to fill in the percentage number above. Upload a screenshot of the webpage displaying these data.

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Low ACT/SAT Scores:
Go to the SC School Report Card website (or to your state's school report card site, if not from SC and determine the percentage for your school and your state) at https://screportcards.ed.sc.gov/ Find your school's report card. Click on "College & Career Readiness." Click the "The SAT" or "The ACT" link to the left - if your school Average Composite Score is less than the statewide average (1028), you qualify. Upload a screenshot of the webpage(s) displaying these data.

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Was a Pell Grant Recipient

Come from a family that received/receives public assistance (e.g., Temporary Assistance to Needy Families, Supplemental Nutrition Assistance Program, Medicaid, and/or public housing)

Considered low-income based upon HRSA guidelines (see table below) - documentation for this criterion will come from submitted tax returns

None of these apply

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200% of the 2020 Poverty Guidelines (based on your submitted tax returns)
Persons in Family/Household Income
1 ($25,520)
2 ($34,480)
3 ($43,440)
4 ($52,400)
5 ($61,360)
6 ($70,320)
7 ($79,280)
8 ($88,240)
For each additional person, add $8,960

Personal Statement:

The SDS Program aims to increase the: 1) number of graduates practicing in primary care; 2) enrollment and retention of full-time students from disadvantaged backgrounds including students who are members of racial and ethnic minority groups, and 3) number of graduates working in medically underserved communities (MUCs).

Attach a statement, as a PDF file (500 words or less), describing how one or more of the three aims of the program would be met if you received an SDS scholarship. Include information about your professional goals as an Occupational Therapist after graduation and your dedication to serving in a medically underserved community for two years.

* must provide value

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