High School Scholarship Application Form

Everest Education Foundation 5-D High School Scholarship Application Form

Application Deadline - 11/20/2022
Read and follow the instructions carefully prior to submitting your application. (https://www.the-eef.org/programs/). All winners will be notified on or before December 20, 2022. By submitting this form, you are agreeing to the terms set on our website. This scholarship is paid out in installments. After submitting mid-term and final reports, which are due 6 months and 12 months from being selected, you will recieve another installment of the scholarship. More details will be provided if chosen for the scholarship. 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 filled below so please use proper grammar and spelling.

Everest Education Foundation (EEF) 5-D High School Scholarship supports
high school students interested in biomedicine who meet or exceed in
the 5 areas:
- Dare to challenge status quo
- Devoted to public service
- Deliver outcomes
- Driven to excel
- Diverse background
You can see our last year's scholars for the 5D program on our website!
I. General Information:

Tell us about yourself
Full Name *

First Name Last Name
Mobile No. : *
E-mail : *
Where the confirmation will be send to
Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
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 Prefer Not to Answer
Are you a US citizen? *

Yes No
Ethnic Origin: *

Hispanic Non-Hispanic Not Indicated
Race? (Choose one or more): *

White Black or African American Asian American Indian or Alaskan Native Hawaiian or Other Pacific Islander Not Indicated
Please check veteran status (Check all that apply) *

Veteran Child of a Veteran Grandchild of a Veteran Spouse of a Veteran None of the Above
Graduation Date: *
Have you submitted an application for admission? *

Yes No
II. High School Information:
Are you or will you be a May 2023 high school graduate? *

Yes No
High School Attended/Attending: *
GPA:
GPA scale:
Please list all high school activities, this can include both academic and non-academic (include offices held of applicable): *
Please list all community service and volunteer work: *
Please list all honors acquired: *
III. Testing information

SAT and 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.
Did you take the ACT? *

Yes No
Date you took the ACT:
ACT composite (overall) score?
Did you take the SAT? *

Yes No
Date you took the SAT:
SAT composite (overall) score?
VI. Extras:

Please check each of the qualifiers below that apply to you. Please note, in no way does answering these questions affect your application.
Which scholarships have you received? *
Do you plan to attend a 4 year university? *

Yes No
Do you have a disability? *

Yes No
Will you be majoring in any field of science? *

Yes No
Will you be working while attending university? *

Yes No
If so, will you work:

Full-time Part-time
Did your parents attend university? *

Yes No
VII. Essay
Your essay should be 300-500 words. You should address in your essay what you intend to use the fund for biomedical research and practice, 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.
Essay: *

0/500
IX. Letters of Recommendation

The applicant is responsible to ensure the reference provide letters before the application deadline. One recommendation letter is required but no more than two. Ensure that you provide your reference with the link to submit the recommendation letter so we can review it before the deadline is over. Letters submitted after the deadline will not be considered.
References submitted by the recommender should be provided with this link:
https://form.jotform.com/212904918085157

Students submitting the recommendation letter should use the submission option below.
Reference #1 Name *

First Name Last Name
Reference #1 Email *
Reference #2 Name:

First Name Last Name
Reference #2 Email:
example@example.com
Submit Recommendation Letter

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X. 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: *
Everest Education Foundation is a nonprofit organization committed to equal opportunity in education. The Foundation 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. For more information regarding the Foundation, please visit us at https://www.the-eef.org/
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Everest Education Foundation 5-D High School Scholarship Application Form

I. General Information:

II. High School Information:

III. Testing information

VI. Extras:

VII. Essay

IX. Letters of Recommendation

X. Applicant's E-Signature