I Understand that the information I have provided will be used to determine my eligibility for a scholarship ranging from 0-50% of the cost of tuition and fees, including needs based, achievement and identity based scholarships provided by the Midwifery Institute to it's students. 

I Understand that failure to provide all of the information requested may result in my application for scholarship funds being denied, regardless of my actual qualifications for scholarships, as the above information is the only information that will be used to determine my eligibility. 

The above information is accurate under penalty of dismissal from all Midwifery Institute programs and civil suit for the balance of any aid I am awarded.