Mahi Pono Online Scholarship Application Form

Mahi Pono Scholarship Application

2021-2022 SY
APPLICANT INFORMATION
Applicant's Name *

First Name Last Name
Current School *
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail *

Confirmation Email
Phone Number *

Area Code Phone Number
Parent/Guardian Name *

First Name Last Name
Parent/Guardian Phone Number *

Area Code Phone Number
Are you a Maui County Resident? *

YES NO
Are you a graduating senior in the 2021-22 school year? *

YES NO
FUTURE EDUCATION PLANS

List the names of post-secondary institutions or programs you are targeting. Indicate if you have applied and/or been accepted, as well as your intended major or targeted certification.
Primary Choice *
2nd Choice (if applicable)
3rd Choice (if applicable)
REQUIRED DOCUMENTS

All documents must be in doc, docx, or pdf file type with a max file size of 250 KB
TRANSCRIPT *

Browse Files
Upload a copy of your high school transcript. Cancel of
RESUME *

Browse Files
Upload a copy of your high school resume or a document listing your Co-curricular Activities, Community Service, Awards, Honors, and/or Employment History. Cancel of
ESSAY - In 250 words or less please share with us your reasons for pursuing further education in an agriculture-related field. *
LETTER OF RECOMMEMDATION *

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Upload a letter of recommendation. (Non-family relations) Cancel of
CERTIFY & SUBMIT
I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I agree to provide Mahi Pono with a headshot photo of myself if I am selected as a recipient of this scholarship award, and give consent that my photo may be taken and used for any purpose deemed necessary to promote the Mahi Pono scholarship program.
Signature of Applicant

Clear
Signature of Parent Guardian

Clear
The completed application packet including all required documents must be postmarked or submitted online by 11:59pm on Wednesday, June 1, 2022. If you have any questions regarding your application, email scholarships@mahipono.com.
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Mahi Pono Scholarship Application

APPLICANT INFORMATION

FUTURE EDUCATION PLANS

REQUIRED DOCUMENTS

CERTIFY & SUBMIT