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I am enrolled or planning to enroll in the Medical Terminology class in Fall 2021.
Yes I am currently enrolled or planning to enroll in the Fall 2021 Medical Terminology class at Moraine Valley.
No I am not enrolled in the Medical Terminology class at Moraine Valley.
Have you gone through a serious hardship or domestic violence?
I prefer not to disclose
I am an employee or client of the FitRec Center and am in good standing with the Department of Campus Recreation.
My heritage/ethnicity/descent includes one or more of the following: (Several scholarships are designed for specific populations. If you choose to not disclose relevant personal information you may select "I prefer not to say" or "No." However, understand that your answer affects your eligibility for scholarships that align with that question.)
I prefer not to say
I am a new Moraine Valley student enrolling into a career program for the first time.
Have you applied for the Jean M. Glocker Memorial Scholarship in the past?
Do you receive financial aid?
Please check all that apply to you:
I am a single parent
I am the child of a single parent
I have suffered the loss of a parent
21. I identify as a member of the LGBTQ+ community. (Several scholarships are designed for specific populations. If you choose to not disclose relevant, personal information, you may select No or Prefer not to Answer as your answer choice. However, understand that your answer affects your eligibility for scholarships that align with this question.)
Prefer not to answer
I plan to pursue a degree in graphic or visual arts and/or I am currently enrolled or have taken a college level graphic arts, advertising design or art course.
There are not any opportunities available.