HRSA Scholars Application form

"*" indicates required fields

The Master of Public Health (MPH) Program at the University of Bridgeport/Goodwin University has been awarded $1,500,000 for the HRSA: Health Resources and Services Administration Public Health Scholarship Program grant. The 3-year grant for SCHOLARS Project (Students Creating Healthier Outcomes in Local Areas and Regions) will help to address the need for public health employees across Connecticut and other States by providing scholarships to our Master of Public Health (MPH) students. Of the total budget, approximately 90% is allotted for student scholarships, including the annual:

30 Part-time students (taking no more than six credits or two classes at a time) will receive $10,000
10 Full-time students (taking no less than nine credits or three classes at a time) will receive $15,000

This grant provides scholarships for forty MPH students per year, based on the following criteria:

must be enrolled in MPH courses during a particular semester and be taking:

6 credits (2 courses) as a part-time student or
9 credits (3 courses) as a full-time student during a particular semester

must enroll in MPH 560 Applied Practical Experience (APE)
must have the minimum graduate GPA requirements

These scholarship recipients will earn a Master of Public Health (MPH) from the University of Bridgeport/Goodwin University.

Personal Information

I am a US citizen.

1. This federally-funded program is open to US citizens and permanent residents only.*

Yes

2. I have been admitted to the University of Bridgeport/ Goodwin University MPH program*

Yes – I am a current student.

Yes – I have been accepted but have not yet enrolled.

I have applied and my admission decision is pending.

University applying through:*

Bridgeport University

Goodwin University

Student Name*

3. Student first name 4. Student last name

5. Birthdate*

MM slash DD slash YYYY

Student ID Number

6. What gender do you identify as?*

7. Primary telephone number*

8. Email address*

9. Which of the following best describes your race, ethnicity or origin?*

Academic programs are asked by many groups (including the federal government, accrediting associations, admissions, and the Office of Institutional Data) to describe the racial and ethnic backgrounds of their students. In order to answer those questions, we ask that you respond to the following. The categories below are taken from the US Census Bureau.

White

Black or African American

Hispanic, Latino, or Spanish Origin

Middle Eastern or North African Origin

American Indian or Alaskan Native

Asian

Native Hawaiian or Other Pacific Islander

Prefer not to say

Some Other Race or Origin (type below)

Other

10. I am a First-Generation Student

Yes

11. Are you a Veteran

Yes

12. Statement of purpose. Please describe your interest and qualifications in becoming a public health professional

Please click here for HRSA Scholarship Scoring Rubric

Please note: There should be a space here with a 1000 word limit Personal Statement with the attached rubric.

Place your name, student ID, and Personal statement at the top of the page.
If you do not have a student ID, state, “Prospective Student”
No more than 1000 words

13. I have completed my FAFSA*

Yes

No, (If no, please complete at the following address: https://studentaid.gov/h/apply-for-aid/fafsa or contact your financial aid office)

14. I've read the above information and would like to continue my application*

Agree, please submit my application.

Disagree, please dismiss my application.

NOTE: Your application will not be considered without a FAFSA

When submitting this survey, you confirm you are aware of the following conditions:

Scholarship award eligibility is limited to US citizens and permanent US residents only.
Scholarship award eligibility is limited to MPH students in good academic standing.
Scholarship award may have implications for other sources of financial aid; it is the responsibility of the applicant to ensure aid eligibility.
You can opt out of the scholarship after you receive the application confirmation.
Contact information will be shared with the school as part of the process.
Scholarship recipients will be required to sign a Public Health Scholarship Program commitment letter attesting to eligibility, and commitment to completing all requirements of the scholarship program prior to award of scholarship funds.
All HRSA Scholars must complete MPH 560 Applied Practical Experience
All HRSA SCHOLARS must participate in the following workshops:

Leadership series
Motivational Interviewing
Data to Policy