Scholarship Application Form

To be considered for this scholarship, you must be a senior high school student residing in New Jersey, intending to pursue a degree in the healthcare field, liberal arts or Science technology Engineering Math (S.T.E.M.). This application is free of charge.

Complete the form below to participate for this scholarship!


Application period: April 1, 2021 – July 30, 2021

Submit your application and all required documentation by

July 30, 2021 at 11:59 PM EST

The Application Period is Now Closed.