Technology Award Request

Technology Award Request
Jack Trice. John G. Trice (May 12, 1902 – October 8, 1923) was a football player who became the first African American athlete for Iowa State College. Trice died due to injuries suffered during a college football game against the University of Minnesota on October 6, 1923. He is the namesake for Jack Trice Stadium, Iowa State's football stadium. The foundation strives to continue his legacy and embodies, community, family, and education. We offer Technology grants to assist students succeed at home, as well at in the classroom. Awards of a laptop and/or internet cost assistance are available at this time.
Read and Understand the instructions.*

Yes, I have
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 submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data:

Tell us about yourself
Full Name*

First Name Last Name
Birthdate:*

Month Day Year
Mobile No. :*

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

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
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
Status at the time of application:

High School Junior or SeniorCurrent Trade School StudentCurrent College Student
II. High School Information:
High School Attended:*
Most recent cumulative GPA:*
Community activities, volunteer work, honors, offices held, etc.:*
Are you a current student or graduate of East Technical High School in Cleveland, OH?*

YesNo
III. Technology Request
What are you in Need of ...*

LaptopHome Internet AssistanceBoth
IV. Why are you requesting this award?
Your response should be less than 300 words. How will this award help you to build or coontinue your legacy?
Essay:

0/300
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. Please print for your records and retain as verification of your application.
E-Signature:*
Should be Empty:

Technology Award Request

I. Personal Data:

II. High School Information:

III. Technology Request

IV. Why are you requesting this award?

V. Applicant's E-Signature