Choose Ohio First Scholarship Application
For First Time Students Enrolled in one of the following Health Care Programs:

Health Information Technology (HIT) Medical and Billing Certificate
Diagnostic Medical Sonography DMS) Healthcare Management (Certificate)
Medical Assistant Medical Assisting (Certificate)
Medical Laboratory Technology Nursing RN
Occupational Therapy Assistant (OTA) Phlebotomy/Medical Laboratory Assistant (Certificate)
Physical Therapist Assistant (PTA) Radiologic Technology (RT)
Surgical Technology Nurse Aide Training (STNA)

Return by July 1

Last Name

First

Address

City 

State

Zip Code

Phone Number   (740/389-1212)  

Email address 

Social Security No. (121-12-1212)

Academic Curriculum

Have you attended MTC under another name? If yes, give that name:   

High School/JVS name:   

GPA (4.0 Scale):   


Choose Ohio First Scholarship Essay

All applicants must submit a 150-500 word essay addressing the question: “What’s next for you and the world of Healthcare?”
Explain the impact you believe the Choose Ohio First Program would have on you during your path to degree completion, and where an earned degree from MTC may take you next.

 

By checking this box, I hereby release my photo and information to be used in any way to promote the college, scholarships and the Marion Technical College Foundation.

I certify that the information which I have provided is correct. Furthermore, I certify that I am not in default on any Title IV loan made for attendance at any institution and do not owe a refund on any Title IV grant received for attendance at any institution. If I am applying for a scholarship, I give my permission for the Financial Aid Office to review my academic record.

Signature:    Date: 00/00/0000

Marion Technical College provides equal opportunities regardless of race, color, national origin, sex, disability, age,  military status, or sexual orientation.