Application

Moore County Health Foundation

To apply for a scholarship through the Moore County Health Foundation Nursing fund, please complete and submit the following electronic form.

The applicant must be pursuing a Registered Nurse (RN) degree at the Moore County campus or the Amarillo Campus of Amarillo College.

To print the application, you can download it HERE. Instructions on where to send the complete application are on the application itself.

Full Name: Please enter your first & last name

Email: Please enter your email address

Submitting Form...

The server encountered an error.

Form received.

Your AC Student ID: Please enter your student ID

Are you a Moore County resident?

YES

NO

Are you registered for classes at the Moore County campus or the Amarillo campus of Amarillo College?

YES

NO

Which is your Nursing Major?

YRNSG.AS

RNSG.AS

RNSG.AAS

VNSG.CERT

What is your GPA? Please enter your current GPA

Have you completed your FAFSA/TAFSA?

YES

NO

What is your family's annual income? Please enter your families annual income

How many people live in your home? Please enter how many people live in your home

How many hours do your work a week? Please enter your weekly work hours

Demonstrated Leadership: Please note how you have demonstrated leadership in your school, church, community, etc.

Activities/ Community Service: Please note how you serve your community

Statement of Need: Please state why you need this scholarship

CONTACT US