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Please read through the entire application before getting started. It is highly recommended you have all the required info for various activities, essays, and documents ready before starting the application.

* = All Required Field

Personal Information

How did you hear about us?*
1 For 2 WebsiteHigh SchoolCollege/UniversityFriend1FOR2EDU AmbassadorSearch EngineOther Scholarship website

Demographic Information



Residency Status*
US CitizenPermanent ResidentOther

Education Information

I will or have graduated from high school by June of 2018, and will be a first-time entering freshman in the Fall of 2018.*


Were you absent from high school for one or more terms before graduating?*


High School Record Details

Earned GED

College Details
Where you been accepted and intend to attend.
Note: You must furnish a copy of your acceptance letter with your application


Do you have any Leadership roles to list?*

If yes, please provide details in this format for all of your leadership activities:

Name of Organization, Occupation or Title, Location – Begin Date – End Date: Description of Activity

Community Service

Do you have any unpaid Volunteer Work or Community Service activities to list?*

If yes, please provide details in this format for all of your Volunteer activities:

Name of Organization, Dates, Total Hours: Description of Activity


Do you have any Paid Employment to list?

If yes, please provide details in this format for all of your Employment activities:

Employer, Dates,Location, Avg.Weekly Hours: Description of Activity

Academic Record

Provide Academic Record Information in Subject areas of English, Other Languages, History, Social Science, Mathematics, Preparatory and/or Academic Electives: Include Visual/Performing Arts, Social Science (Anthropology, Economics, Psychology, Sociology, etc.), Computer Science. Math* Highest-level full year of math already completed with a grade of ‘C’ or better

Please provide details in this format for all of your Academic Record Details:*

Subject Area, Course Title, Course Length, Grade Level, Letter Grade

If it is an honors level course indicated it with an asterisk(*) at the end.


1.Discuss the subjects in which you excel or have excelled. To what factors do you attribute your success?*

2.Discuss the subjects in which you have had difficulty. What factors do you believe contributed to your difficulties? How have you dealt with them so they will not cause problems for you again? In what areas have you experienced the greatest improvement? What problem areas remain?*

3.Briefly describe a situation in which you felt that you or others were treated unfairly or were not given an opportunity you felt you deserved. Why do you think this happened? How did you respond? How did the situation improve as a result of your response?*

4.Discuss your short and long-term goals. How are they related? Which are priorities?*

5.Discuss a leadership experience you have had in any area of your life: school, work, athletics, family, church, community, etc. How and why did you become a leader in this area? How did this experience influence your goals?*

6.Discuss your involvement in and contributions to a community near your home, school or elsewhere. Please select an experience different from the one you discussed in the previous question, even if this experience also involved leadership. What did you accomplish? How did this experience influence your goals?*

7.Other than through classes in school, in what areas (non-academic or academic) have you acquired knowledge or skills? How?*

8.Is there anything else you would like to tell us about that may help us evaluate your nomination (i.e., personal characteristics, obstacles you have overcome)?*

9. ONLY for Nominees who graduated from high school or earned their GED more than one year ago: Describe those activities in which you have participated since completing high school (e.g., community service, leadership, employment) that you believe qualify you for this scholarship.

High School Transcript*

Instiution Acceptence Letter*

Authorization, Release & Pledge Form*
Download this file to sign and upload it.

Other Info