Dayton Tuskegee Alumni Club Scholarship Application (Incoming/Transfer Students)
Enter Your Full Name
First Name
Middle Initial
Last Name
Your Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tuskegee Student ID
Your Cell Phone Number
-
Area Code
Phone Number
Your Email Address
example@example.com
Your Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Name
First Name
Last Name
Parent/ Guardian Phone Number
-
Area Code
Phone Number
Parent/ Guardian Email
example@example.com
Household Income
Counselor's Name
First Name
Last Name
Counselor's Phone Number
-
Area Code
Phone Number
High School
High School Organizations
Extracurricular Activities
Cumulative Grade Point Average
(Must have a 2.5 or Greater)
ACT or SAT Score
Planned Major
Please list all Scholarships/Grants you have been awarded as an incoming Freshman/Transfer student. Please list name and award details.
Please write a personal statement to include; your academic and career goals and how this scholarship will benefit you.
Your Signature
Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: