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Scholarship Application

Purpose

Empower your educational journey with RSBCIHI’s Scholarship Program! This page features the official application form to help eligible Native American students access financial support for their studies. You'll find all the essential fields to complete—personal details, proof of tribal affiliation, school information, and program specifics. Be sure to include required documents like transcripts, enrollment verification, letters of recommendation, and a thoughtful essay describing your academic and community goals. Incomplete applications unfortunately won’t be considered. Ready to apply?

PERSONAL INFORMATION

Name
Date of Birth
Applicant Address

BACKGROUND

Number & Street

SCHOOL INFORMATION

School Address

CLASSIFICATION

Classification for the upcoming term:
Full Time Student?
Have you attached evidence that you are enrolled or have been accepted into the degree program listed above:
Which system does the school use?
Checkboxes
Checkboxes

DOCUMENTATION

Attach Documents
Check the box for the type of information you are including to verify your eligibility:
Drag & Drop Files, Choose Files to Upload
Drag & Drop Files, Choose Files to Upload

Certification and Agreement

Please include this form and all other materials required for this scholarship in a single envelope/package. Incomplete applications or missing materials will be grounds for automatic disqualification.
Clear Signature
SCHOLARSHIP APPLICATION FORM (.PDF)

Application Submittal:

Send your complete application package to:

RSBCIHI Scholarship Committee

11980 Mount Vernon Avenue

Grand Terrace, CA 92313

Applications must be compiled into a single envelope/package. Incomplete applications or missing materials will result in automatic disqualification.

SCHOLARSHIP APPLICATION FORM (.PDF)

Welcome to Riverside-San Bernardino County Indian Health, Inc.

"We’re glad you’re here. At RSBCIHI, we’re more than just a healthcare provider—we’re a part of the community. Whether you’re coming in for a routine visit, seeking specialized care, or just looking for guidance on staying healthy, we’re here to support you with respect, compassion, and an understanding of your unique needs. Your well-being is our priority, and we’re honored to walk this journey with you. Thank you for trusting us with your care."