University of Houston-Victoria

Nursing Program

Scholarship Application Form

Scholarship Criteria and Instructions

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Are you a US Citizen? Required
Are you a permanent resident? Required
Required
Do you pay out-of-state fees? Required
What is your classification? Required


I am applying for: Required


Required (mm/dd/yyyy)

Have you applied for financial aid at UHV?Required
If yes, what type of financial aid did you apply for (check all that apply)




Have you submitted a Free Application for Federal Student Aid (FAFSA) with your most recent income statement? Required

NOTE: To be considered for University scholarships that stipulate a financial need you must complete a Free Application for Federal Student Aid (FAFSA).

Certification statement:
Unsigned and incomplete applications will not be considered. Information on this application is provided to all UHV Nursing Program Scholarships.

Required

Student’s Signature:
Date: