Alaska Pacific University
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Alaska Tribal Health Systems Scholarship Application

ADMISSIONS: ANTHC Scholarship

Student Application Personal Data

Name(Required)
Date of Birth(Required)
Are you Alaska Native / American Indian?
What is your employee/dependent status?(Required)

ANTHC/Tribal Health Employee Data

Name of Employee(Required)
Employee start date (mm/dd/yyyy)

Eligibility

What is your student status at APU?
Note: Specialty programs, like the Alaska Native Executive Leadership Program (ANELP), and any partnership programs where students are receiving discounted tuition and/or fee rates, such as the Undergraduate Health Occupations Certificates, do not qualify.
Eligible Degree Programs: Early Honors Program
Eligible Degree Programs: Undergraduate Programs (Choose all that apply)

Statement of Agreement

I hereby attest the information provided in this application is true and correct to the best of my knowledge. I understand if I am selected, the funds must be used toward Alaska Pacific University tuition. By checking the box below I am submitting this form as an equivalent to a written signature.(Required)

Release of Employment Verification Authorization

The individual employee or dependent named in this application is an APU ATHS scholarship applicant for which ATHS employment verification is required no more than one month before each semester begins. The information provided will remain confidential to the satisfaction of that stated purpose by APU and ANTHC.(Required)

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