Main Line Martin Luther King Association
Scholarship Application Form
Name
*
First Name
Last Name
Mobile Phone Number
Home Phone Number
E-mail
*
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Address
*
Street Address
Apt/Unit #
City
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State
Zip Code
High School Name
*
Current Cumulative GPA
*
Anticipated High School Graduation Date
-
Month
-
Day
Year
Date
College Information (if known)
College/University where you have been accepted
Intended Major/Training
Place of Worship (if applicable)
List Scholastic Honors or Distinctions You've Received
List Extracurricular Activities, Community Service, and/or Work Experience
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Description of Financial Need
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Upload Personal Essay (500-700 words)
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Upload Transcript
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Upload Recommendations
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Upload a Photo (optional)
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If selected as a scholarship recipient, your photo & achievements will be featured on our www.MainLineMLK.org website.
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