Rashawn D.E. Allen Memorial Foundation Scholarship Application

Scholarship Application
I, First Name* Last Name* have read and understood the terms and conditions of the Rashawn D. E. Allen Memorial Foundation Scholarship explained in the policies and procedures section of this application. I affirm that I plan to pursue a career in engineering or mechanics as defined in those documents. I understand that this application will be available only to qualified people who need to see it in the course of their duties. I waive the right to access letters of recommendation written on my behalf. If selected, I agree to keep the foundation abreast of my progress. I affirm that all of this application and the information contained herein are true and accurate to the best of my knowledge and belief.

Date* Signature*
Name in Full*

Last NameFirst NameM.I.
Date of Birth*

MonthDayYear
Date
Age*
Email Address*
example@example.com
Cellphone*
Please enter a valid phone number.
Gender:*

MaleFemaleBinaryOther
Race:*

Black or African AmericanHispanicAsianWhiteOther
Check one. I am a*

U.S. CitizenU.S. NationalResident alien expecting citizenship by the date of award
Family Unit
Household Income
Permanent Residence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address if Different from Physical*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current School *
School Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Telephone*
Please enter a valid phone number.
Current cumulative GPA Number on a scale of Number*
Upload a copy of your school transcripts.

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1. List college and high school activities (JROTC, student government, sports, publications, school-sponsored community service programs, student-faculty committees, arts, music, etc.). List in descending order of significance. You will have space for eight colleges and four high school activities.

	Dates	Offices
High School Activity 1
High School Activity 2
High School Activity 3
High School Activity 4

2. List public service and community activities (homeless services, environmental protection/conservation, advocacy activities, work with religious organizations, etc.). Do not repeat items listed previously. List in descending order of significance. You will have space to list six.

	Role	Dates	# of Weeks Active
Activity 1
Activity 2
Activity 3
Activity 4
Activity 5
Activity 6

3. Do you have a part-time job?*

YesNo
If yes, how long have you worked there?
4. Describe one specific example of your leadership abilities.*
5. What are the three most significant courses you have taken in preparation for your career?*
6. What do you hope to do and what position do you hope to have upon completing your studies?*
7. What do you hope to do and what position do you hope to have five to seven years?*
8. Why do you feel that you should be a recipient of this scholarship?*
9. Why have you chosen a potential career in engineering or mechanics?*
10. What additional personal information do you wish to share with the Rashawn D. E. Allen Memorial Foundation Scholarship Committee?*
Name of Select University/College/Trade School *
Your Address at School (University/College/Trade School)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload a copy of your acceptance letter.

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Upload a high resolution photo of yourself

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Signature*

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