Giving Hope & Help Education is Your Passport Scholarship Program Application

The Freshman 15 Project

Dorm Package Award
The Freshman 15 Project Scholarship is to provide Dorm Essentials and School Supplies to incoming college students, who will be residing on campus. Preference will be given to students who attend Historically Black Colleges and Universities.
Qualifications for the Education Is Your Passport Scholarship:

• High School Senior with a GPA of 2.5+ on a 4.0 Scale
• Submit a letter of acceptance on official letterhead from an accredited college or university (a clear copy of the letter is acceptable).
• Submit Official High school transcript
• Submit proof of LOW INCOME- Attach 2020 Household W-2 or 2020 Household W-2 Transcript.
Transcripts can be requested at: https://www.irs.gov/individuals/get-transcript
(Low Income Guidelines attached to application-Direct all inquiries to the IRS.)
• Submit a 500-1,000 word Essay on a need(s) in your community and how you plan to give back to meet the needs(s) while in college and beyond to make a difference.
Awarded High School Scholars will receive:
- XL Twin Coordinated Bed-in-a Bag Set for the college dormitory
- Tote of Toiletries/Backpack & school supplies based on donations
- Mattress Pad/Bed Bug Protector
- Pillows (2)
- Towels (bath towels, and wash cloths) (2 sets)
- Laundry basket (or bag)
- Shower Caddy and/or Tote
- Hangers
- First Aid Kit
- Flashlights
- Water Bottle w/Filter
- Power Strip
- Shower Shoes
ATTENTION:

This form may be saved and submitted later. Failure to enter all fields will prevent application submission.

Completed applications are due by June 15, 2021 at 11:59pm.

Applicants will be notified by email by July 15, 2021.

STUDENT INFORMATION
Name*

First NameMiddle InitialLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*

Area CodePhone Number (000-0000)

PARENT/LEGAL GUARDIAN INFORMATION

If inapplicable please fill the text box with "N/A"
Mother's Name (or Guardian) :*

First NameLast NameSuffix
Mother's/Guardian Email Address*
example@example.com
Home Telephone Number

Area CodePhone Number
Mobile/Alternate Number*

Area CodePhone Number
Father's Name (or Guardian)*

First NameLast NameSuffix
Father/Guardian Email Address*
example@example.com
Home Telephone Number

Area CodePhone Number
Mobile/Alternate Number*

Area CodePhone Number
Number of Household Members*
Example: For a family of five, select the drop down 5.

SCHOOL INFORMATION
Current High School*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guidance Counselor's Name*

PrefixFirst NameLast NameSuffix
Guidance Counselor's Phone Number*

Area CodePhone Number
Guidance Counselor's Email*
example@example.com
Current Grade Point Average*
Example: 3.0/4.0 scale
Weighted GPA (if applicable)

List of Extracurricular Activities*
Example: Chess Club, Community Service Council, etc.
Community Service/Involvement*
Example: Harvester's Food Packager, MLK Program Volunteer
Scholarships, Honors and Awards Received (if inapplicable please type "None at this time.")*
College expected to attended*
Prospective Major or Undecided*
Prospective Minor (if applicable)

Required Documents
High School Transcript*

Browse Files
Must be the most current transcript from the previous semester Cancelof
College Acceptance Letter

Browse Files

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2020 Household W-2 or Household W-2 Transcript*

Upload Files
Request a transcript at www.irs.gov/Individuals/Get-Transcript Cancelof

Essay Question
What are your educational and professional goals and objectives?*

0/100
Please submit a 500-1,000 word essay to the proposed question. The submission should be in the format of pds, doc, txt or png.

What is a need(s) in your community and how do you plan to give back to meet the need(s) while in college/workplace and beyond to make a difference?
Upload Essay Here*

Upload File
pdf, doc, docx, txt, or png Cancelof

If you receive the scholarship, are you willing to speak and/or write an excerpt for our website and/or social media? The excerpt would pertain to how we have helped you in your plight of success.
YesNo
I agree that all information completed on this application and documents submitted are true to the best of my knowledge. I understand that application and submissions will be used for purposes of determination of the dorm pacakage award. I also understand that completion of application does not guarantee admission or benefits of the program.
Date*

MonthDayYear
DateHourMinutesAM/PM Option
Signature of Applicant*

Clear
Date*

MonthDayYear
DateHourMinutesAM/PM Option
Signature of Parent/Guardian*

Clear
Should be Empty:

The Freshman 15 Project

STUDENT INFORMATION

PARENT/LEGAL GUARDIAN INFORMATION

SCHOOL INFORMATION

Required Documents

Essay Question