Saint Regis Mohawk Tribe Health Services CAMP MED Scholarship Form

Provided by Saint Regis Mohawk Tribe

How to apply for the scholarship?

  • Step One: Submit your Camp Med Application on-line.
  • Step Two: Complete the Camp Med Scholarship Application (below).

CampMed Scholarship Application

  • City, State, Zip
  • Address, City, State, Zip

  • Economically Disadvantaged

    An individual who comes from a family with an annual income below a level based on low-income thresholds according to family size published by the U.S. Bureau of Census, adjusted annually for changes in the Consumer Price Index, and adjusted by the Secretary for use in all health professions programs. The Secretary will annually publish these income levels in the Federal Register. The table below provides a breakdown of family income levels used to determine economic disadvantaged status. Family income is defined as the income of the trainee's parents regardless of the age of the trainee.

    Size of Family Unit* - - Low-Income Levels**

    1 - - $21,660
    2 - - $29,140
    3 - - $36,620
    4 - - $44,100
    5 - - $51,580
    6 - - $59,060
    7 - - $66,540
    8 - - $74,020

    * Includes only dependents listed on Federal income tax forms.
    ** Income Level Adjusted gross income for calendar year