Scholarship Application The goal of the Skaggs Foundation Scholarship Program is to meet community healthcare needs. Carefully review the eligibility requirements and deadlines available at SkaggsFoundation.org/scholarships or by calling 417-348-8998. Today's DateDid you receive a scholarship from Skaggs Foundation last term? YesNoApplication YearTermSpringSummerFallWhich term are you applying for?General InformationName *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Phone *Email Address *EmploymentEmploymentEmployment LengthEmployment PositionDays absent in the past 12 months.AbsencesHave you been disciplined by your employer in the past 12 months?YesNoYou will be asked to explain this discipline.DisciplineVolunteeringPlease explain any volunteer experience you've gained.Education HistorySchool Education CompletedGPAGraduation DateCourse of StudyEducation PlansDegreeField of StudyStart DateEnd DateHours CompletedHours RemainingSchool Finance Office/BursarStreet Address *Enter your school's address.Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Country Select countryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweStudent IDSelect your current status.FreshmanSophmoreJuniorSeniorGraduate StudentRequired Document UploadBe sure all of the following documents are attached:Completed application.Most recent high school or college transcript (returning scholarship applicants may submit an unofficial college transcript from the last 3 years showing classes, hours, and GPA) If no college transcript is available, provide proof of acceptance to an institution of higher education must accompany the application packet. ** One-page essay on why you are interested in a career in healthcare.** Letter of recommendation – submitted separately by school advisor or work supervisor. ( ** Not required for last term returning award recipients.)Upload transcript and other files.Drag and Drop (or) Choose FilesPlease be sure your submission packet includes all of the required items:I affirm that the information provided on this application is true and complete and that I meet the scholarship criteria provided. I understand that if I am selected for the scholarship program, I will receive an award to help pay for my school expenses while attending an accredited institution of higher education while pursuing the clinical healthcare degree/certification as outlined above. *I do.I do not.Submit Application