General Scholarship Application

The HayesXChange Passport Initiative

"A tribute to the 14th Amendment and the right to travel abroad"
Promoting Diverse Faces in Global Spaces

Beyond the Boundaries of Tourism
Personal Information

First NameMiddle NameLast Name
Phone Number

Area CodePhone Number
Home Address

Street Address

Apt/Unit #

CityState

Zip Code
E-mail
Enter Email Here
Name of School
University/High School where you are a student
Teacher Name
* The HayesXChange will send the passport voucher directly to specified teacher
Teacher Email Address
*Official school email address required.Teacher will help facilitate application process.
Hometown
City/State
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please write a 500-word essay about the importance of gaining an international education and why you would benefit from having a passport. Please also upload a photo and video with your submission.

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Tell us in less than 1-minute why you want to be a HayesXChange Passport Scholar Cancelof
If you have questions regarding any part of this application, how to complete it, or the requirements for its submission, please contact hayesxchange@gmail.com
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The HayesXChange Passport Initiative