Angelique Sahirah Muhammad Scholarship Application Form

The 2026 Angelique Sahirah Muhammad Scholarship Application Form

Provided by The International League of Muslim Women, Inc. ~ National Office
The International League of Muslim Women will award scholarships for higher education to young women who demonstrate leadership in community and school activities. You may apply for the scholarship if you will be attending an undergraduate course of study in the 2026-2027 school year at an accredited two or four-year college, university or vocational-technical school.

To apply for a scholarship, you must comply with the application checklist at the end of this form and select Submit.

For Questions: TILMWScholarship@gmail.com

ENTRY DEADLINE: May 31, 2026 (11:59 p.m. EST)

1. APPLICANT DATA

Please fill out the below information.
Full Name

Last NameFirst NameMiddle Initial
Mailing Address

Street Address

Apt/Suite #

CityState

Postal / Zip CodeCountry
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
Please indicate your status.

(For Statistical purpose only)
Gender
Ethnicity

2. FAMILY DATA

Please answer the questions to the best of your ability.
Father's Name

First NameLast Name
Occupation
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name

First NameLast Name
Occupation
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Living with:

Other
If Other, specify:
Number of Dependent children in household
Dependents, including applicant, enrolled in college or other post high school educational institutions next school term

3. HIGH SCHOOL/POST HIGH SCHOOL DATA
School Name
Graduation Data

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
At the end of 11th grade or Current Collegiate Term:

Applicant's rank blanks* in a class of blank* students.
Cumulative grade point average

4. POST HIGH SCHOOL DATA
Name of post-high school you will attend in fall 2026
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Institution

Other
If Other, please specify
Major or course of study
Anticipated date of graduation
MM-YYYY

5. WORK, SCHOOL, COMMUNITY AND VOLUNTEER ACTIVITIES

WORK: Describe your work experience, beginning with your current or most recent job.

Rows	Job Title	Name of Employer	From __ to ___	Position	Duties	Supervisor's Name and Phone number
Job #1
Job #2
Job #3

SCHOOL ACTIVITIES: List all school activities in which you have participated during the past 4 years (e.g. student government, music, sports, etc.) Indicate all special awards and honors. List all leadership positions and offices held. List academic years during which you participated.

Rows	Activity Title	Years Participating From ___to___	Special Awards/Honors	Leadership Positions/Offices Held	Years Participating From ___to___
Activity #1
Activity #2
Activity #3
Activity #4
Activity #5

COMMUNITY AND VOLUNTEER SERVICES: List all community and volunteer activities in which you have participated without pay during the past 4 years (e.g. Red Cross, Big Brother/Big Sister, Church, Youth Group, volunteer at nursing home, recycling project etc.) Indicate all special awards and honors. List all leadership positions and offices held. Do not list any paid work. List academic years during which you participated.

Rows	Activity Title	Years Participating From ___to___	Special Awards/Honors	Leadership Positions/Offices Held	Years Participating From ___to___
Activity #1
Activity #2
Activity #3
Activity #4
Activity #5

6. GOALS AND ASPIRATIONS

Write a brief essay (300-500 words) on your goals in relation to your: 1-Education, 2-Career, and 3-Future Plans.
Essay topic: "How will your college education help you as a woman leader to overcome barriers and biases?"

0/500
6. OTHER EXPERIENCES
In two or three sentences, state which experiences or persons have contributed to your achievements to date.

6. REQUIRED UPLOADS
Most Recent Official Transcript of Grades

Cancelof
Recent Photograph (wallet size, head shot)

Yearbook photo would be ideal.
Cancelof
Recommendation Letter #1 (cannot be from a relative)

Cancelof
Recommendation Letter #2 (cannot be from a relative)

Cancelof

7. CERTIFICATION
In submitting this application, I certify the information provided is complete and accurate to the best of my knowledge. Falsification of information will result in termination of any scholarship granted.
Applicant's Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent's Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of School Official Recommending Applicant

First NameLast Name
Title
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com

Completion of the Angelique Sahirah Muhammad Scholarship.

Fill the checkbox in below and make sure everything in the form is complete.
This application for a scholarship becomes complete and valid only when you have submitted the following materials together:

APPLICATION SUBMISSION
Thank you so much for taking the time to complete the Angelique Sahirah Muhammad Scholarship Application Form. You will receive a confirmation of your submission to the email listed in your application.

Your application will be reviewed and you will receive a letter regarding your status once a decision has been made.

You will be able to only submit your application only once so ensure everthing is completed correctly and accurately. Once you are satisfied, select Submit!

For Questions: TILMWScholarship@gmail.com

ENTRY DEADLINE: May 31, 2026 (11:59 p.m. EST)
Should be Empty:

The 2026 Angelique Sahirah Muhammad Scholarship Application Form

1. APPLICANT DATA

Please indicate your status.

2. FAMILY DATA

3. HIGH SCHOOL/POST HIGH SCHOOL DATA

4. POST HIGH SCHOOL DATA

5. WORK, SCHOOL, COMMUNITY AND VOLUNTEER ACTIVITIES

6. GOALS AND ASPIRATIONS

6. OTHER EXPERIENCES

6. REQUIRED UPLOADS

7. CERTIFICATION

Completion of the Angelique Sahirah Muhammad Scholarship.

APPLICATION SUBMISSION