Apply for a scholarship | The Caregiver Incentive Project

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Apply for a CIP scholarship or grant

Fill out the form below to apply for a CIP scholarship or grant. We will reach out to confirm your submission and will announce awardees by email.

If you prefer, download this application as a PDF and email the completed version to scholarships@the-cip.com.

Full Name*
Phone Number*
Email Address*
Date of Birth (MM/DD/YY)*
Year in School*
Major*
Minor
Anticipated Degree or Certificate*
Anticipated Semester of Graduation or Certificate Completion*
- Fall
- Spring
- Summer
Anticipated Year of Graduation or Certificate Completion*
- 2022
- 2023
- 2024
- 2025 or later
Average Hours per Week as a Caregiver*
Describe your current caregiving employment. (Include information on hours, level of care/support required, wage earned, previous experience, previous training, etc.)*
In 100 words or less, discuss your understanding of the national in-home caregiver shortage. How can you be a part of reducing the shortage? What experiences or factors have shaped your interest in addressing the caregiver shortage?*
In 100 words or less: Describe examples and experiences that demonstrate you can work effectively with elderly, adult disabled or medically fragile individuals. Describe any difficulties you have encountered or that you think you might encounter when working with any of the groups mentioned above.*
In 100 words or less: Describe examples and experiences that demonstrate you can work effectively with elderly, adult disabled or medically fragile individuals. Describe any difficulties you have encountered or that you think you might encounter when working with any of the groups mentioned above.*
In 100 words or less: What motivates you to begin/continue working as an in-home caregiver currently?*
In 100 words or less: How do you balance your work, education, and personal life? What supports are in place for you?*
Have you attended a CIP Caregiver Academy?*
- Yes
- No
Would you be interested in attending one?*
- Yes
- No
If awarded a scholarship, are you willing to participate in publicity events, surveys, training and/or other CIP activities?*
- Yes
- No
I understand that I must find my own employment and work as an in-home caregiver to receive payment of this scholarship if awarded to me.*
- Yes
- No
Are you willing to have your Name, Image and/or Likeness used in CIP Publicity and Marketing materials?*
- Yes
- No
Is there anything else you would like us to know about you? If so, please put it here in 100 words or less.
Please type your full name here. (This serves as your "digital signature" and confirms that the above information is true and accurate.)*
Today's Date*
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Thank you for being part of the solution! The CIP team is doing everything we can to tackle the shortage of caregivers, and your interest in this field means everything to us.

Improving the lives of the cared for by supporting caregivers.

Contact

Eric.Paad@the-CIP.com
Office: 906-250-0682

Mailing Address

PO Box 637
Marquette, MI 49855

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