Scholarship Application

Name:

Address line 1:

Address line 2:

City:

State:

Phone:

Email:

What is your partnership status? (please describe):

Do you have children who receive more than half of their support from you?:

Yes

If yes, how many children do you support?:

Do you have dependents (other than children, spouse or partner) who receive more than half their support from you?:

Yes

If yes, please explain:

What was your (and partner's) income after taxes for the previous year?: $

Are you receiving assistance from any humanist organization to attend the Institute? (please explain):

What is your interest in attending The Humanist Institute? (please explain):

What do you hope to do with your experience? (please explain):

Are you applying for a full or partial scholarship?:

Full scholarship

Partial scholarship

A full scholarship would cover 100% of the cost of tuition over 3 years
A partial scholarship would cover 50% of the cost of tuition over 3 years

If granted a scholarship, would you be able to repay later any or all of the cost of tuition? (please explain):

Tuition

Spring Session:       $500

Summer Session:    $900

Winter Session:       $500

Total Annual Cost: $1,900

Total Cost for Three-Year Program: $5,700

Tuition covers books, hotel room and board. Deductions are not made available for required books already owned, boarding at home or with friends or relatives, or preparing own meals or taking meals elsewhere. Students are encouraged to share hotel rooms as a means to reduce overhead costs. Those who chose to room alone will be billed for half the cost of the room. Travel expenses are not included in the tuition. Meal stipends are provided when catering is not made available.

Confidentiality

Any information given by a scholarship applicant will be held in confidence and used only for the purpose of establishing scholarship need. All information given will be reviewed by the Admissions Committee for The Humanist Institute and not be shared with any outside parties.