DO3 Scholarship Application Form

Read and follow the instructions carefully prior to submitting your application. All winners will be notified on or before the 31st of May.
DO3 Scholarship Application Form

Application Submission Date: March 1 - April 30
APPLICATIONS RECEIVED OUTSIDE THE SUBMISSION DATE WILL NOT BE ACCEPTED!
If selected, an award letter will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What is your life-threatening illness?
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:

MaleFemale
Are you a US citizen?

YesNo
Ethnic Origin:

HispanicNon-HispanicNot Indicated
Race? (Choose one or more):

WhiteBlack or African AmericanAsianAmerican Indian or Alaskan Native Hawaiian or Other Pacific IslanderNon-Resident Alien
VeteranChild of a VeteranGrandchild of a VeteranSpouse of a VeteranNone of the Above
Year of high school graduation.
What higher education institution or trade school have you applied to or been accepted at, or currently attending?
Major Area of Study:
Please indicate what is your major are of study
What is your Career Objective:

0/300
If a graduating senior, have you submitted an application for admission?

YesNo
If a graduating senior, have you been accepted?

YesNo
II. High School/College Information:
High School/College Attending:
Most recent cumulative UNWEIGHTED GPA:
How many hours of volunteer service have you had in the past two years.
With what organizations have you performed volunteer service in the past two years.
High School or Higher Education activities, community activities, honors, offices held:
III. Essay
Your essay should be 300-750 words. Tell us why you want this scholarship and how your experience with your life-threatening illness impacted your life experience and career goals?
Essay

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IV. Upload Files
Upload high school or most recent higher education transcript.

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Upload Letters of Recommendation

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Upload documentation from physician regarding illness

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V. 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.
You are further giving Dreaming of Three your consent to social media publication and you will submit a picture for posting at Dreaming of Three fundraising events if you are selected by the committee to receive a scholarship.

If you are selected to receive a scholarship, your check will be mailed directly to you upon your submission of proof of registration for fall classes.

Please print for your records and retain as verification of your application.
E-Signature:*
Should be Empty:

DO3 Scholarship Application Form

I. Personal Data:

II. High School/College Information:

III. Essay

IV. Upload Files

V. Applicant's E-Signature