YOHA Scholarship Form

Scholarship Application Form

Application Deadline: June 1, 2021
Read and follow the instructions carefully prior to submitting your application. All winners will be notified 4-6 weeks after deadline.

If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Information:

Tell us about yourself
Full Name *

First Name Last Name
Birthdate: *

Month Day Year
Mobile No. : *

Area Code Phone Number
E-mail : *
Where the confirmation will be send to
Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Optional Informations :

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)
Gender:

Male Female
Are you a US citizen?

Yes No
Ethnic Origin:

Hispanic Non-Hispanic Not Indicated
Submit 2 letters of recommendation (not family members)

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Cancel of
Provide a copy of the acceptance letter to an accredited college, university, or trade/technical certificate program, (if an incoming freshman OR returning adult student)

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Cancel of
Race? (Choose one or more):

White Black or African American Asian American Indian or Alaskan Native Hawaiian or Other Pacific Islander Non-Resident Alien
Status at the time of application:

I will graduate in Spring 2021 I will be an incoming freshman graduating high school prior to 2021 I have attended college but have less than 32 college credit hours I have attended college but have at least 32 or more college credit hours I am a GED graduate with no college credit hours
Are you a first generation college student ?

Yes, I am the first among my parents or grandparents to attend college. No, either my parents or grandparents have attended college.
Major Area of Study:
Please indicate what is your major are of study
Have you submitted your college application(s) for admission?

Yes No
II. High School Information
Are you or will you be a Spring 2021 high school graduate?

Yes No
High School Attended:
Year of High School Graduation or GED:
Most recent cumulative GPA:
High School activities, community activities, volunteer work, honors, offices held:
III. ACT Information:
Year you took the ACT:
ACT composite (overall) score?
ACT scores are not required for scholarship eligibility. However, providing an ACT score can increase the likelihood of your selection as compared to other candidates.

All scholarship applicants reporting an ACT score will be asked to provide official verification.
Note: If you are a 2021 high school graduate and received a composite score of 26 or higher you are eligible for an automatic one-year full tuition scholarship.
IV. For Transfer Students Only
Most recent college attended and cumulative transfer GPA:
Cumulative transfer GPA:
V. For Students Currently Enrolled at a College or Institution of Higher Learning
Approximate credit hours completed by end of Spring Semester 2021:
Current GPA:
School activities, honors, offices held, etc.:
VI. Extras:
(School Name) administers many scholarships designed to offer aid to students that represent unique characteristics. Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for selected scholarships. Please note, if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
Have you ever received a scholarship at (School Name)?

Yes No
Do you plan to complete your two-year degree with (School Name)?

Yes No
Do you plan to transfer to another college and complete a 4-year degree?

Yes No
Do you have a disability?

Yes No
In addition to a scholarship, would you like to be considered for intern opportunities in support of The YNOTT? Foundation to your major?

Yes No
Will you be working while attending (School Name)? *

Yes No
If so, will you work:

Full-time Part-time
If yes, Name and Year of their graduation:
VII. Essay Questions
Each essay answer should be 250 words or less. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.
Why should you be selected for this scholarship? (250 words or less) *

0/300
Furnish a statement of educational goals and objectives (Not more than 300 words) *

0/300
Submit a statement describing how transplantation influences his/her life (250-300 words) *

0/300
A reporter from a major newspaper is interviewing you and the story is about your life. Write the newspaper article that you hope the reporter would print about you for everyone to read. Include information about your life to date and what you hope will be written about you in the future. *

0/300
If you could propose a new holiday, what would it be and why? How would it be celebrated? *

0/300
VIII. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature: *
The YNOTT? Foundation (YNOTT?) is committed to equal opportunity in providing support and assistance for organ tissue transplant donors, recipients and their families. YNOTT? does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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Scholarship Application Form

I. Personal Information:

II. High School Information

III. ACT Information:

IV. For Transfer Students Only

V. For Students Currently Enrolled at a College or Institution of Higher Learning

VI. Extras:

VII. Essay Questions

VIII. Applicant's E-Signature