Med-Assist School Of Hawaii Non-Resident Grant Application Form printable pdf download

MED-ASSIST SCHOOL OF HAWAII

NON-RESIDENT GRANT

APPLICATION FORM

Non-Resident Grant

of $500 will be offered to any non-resident who recently relocated to Hawaii within

one year of the start of their academic program.

This is a tuition discount program wherein the standard

tuition is reduced by the value of the grant. It does not cover other costs such as books, supplies, and

living costs, although should the student receive other forms of financial assistance (e.g. financial aid,

other forms of grants or scholarships, etc.) to the extent that these resources become greater than the

reduced tuition (as a result of this grant) and causes a credit in the student’s billing account, a refund will

be provided to the student which can then be used to pay for other expenses. This grant shall be awarded

to any student who is considered a non-resident (see definition to follow) and who is regularly admitted

(i.e. non-probation) to the Medical Assistant program of the Med-Assist School of Hawaii and who

completes this application form. Non-Resident Definition: Pertains to any individual who is not

considered a resident of the State of Hawaii and who has resided in Hawaii for no more than one year

from starting the Medical Assistant program. Examples of a non-resident include (but are not necessarily

limited to) someone who has not filed a state income tax return, who does not own property in the State of

Hawaii, and who does not own a business in the State of Hawaii.

NAME: _____________________________________________________________________________

ADDRESS: __________________________________________________________________________

PHONE: ____________________________ EMAIL: ________________________________________

PREVIOUS ADDRESS:

_______________________________________________________________

DATE YOU RELOCATED TO HAWAII:

Month _____________________ Year ____________

EXPECTED MED-ASSIST START DATE: Month _____________________ Year ____________

CERTIFICATION: My signature below certifies that I understand the eligibility requirements for this

grant and that I meet the definition of a “non-resident,” and that I understand the Non-Resident Grant is

intended to produce graduates from the Med-Assist School of Hawaii. I understand that in the event I do

not complete the academic program my grant, should I be so awarded, will be pro-rated by the ratio of the

number of days I attended to the total number of days in the program.

_____________________________________________________________________________________

Signature

Date

Return This Form To:

Med-Assist School of Hawaii

345 Queen St., #400, Honolulu, HI 96813

808-524-3363 (Tel), 808-524-1562 (Fax)

info@mash.edu

This grant is not combinable with the Med-Assist Neighbor Island Grant.

Proof of exact relocation date may be requested for verification purposes.

The term “non-resident” used in this definition is purely a terminology utilized by the Med-Assist School of Hawaii for the purposes of this

grant and is not meant to otherwise reflect any other definition that this term represents within other contexts. Med-Assist reserves the right,

for the purposes of this grant, to make the final determination of what constitutes a “non-resident.”

Before relocating to Hawaii.

Med-Assist School Of Hawaii Non-Resident Grant Application Form

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