Abdillahi Kahin Scholarship Application (2022-2023)
The information provided on this form will be used by the Abdillahi Kahin Scholarship Committee to select recipients for scholarships. It is important that you give complete details concerning your college/career plans, activities and financial information.
BASIC INFORMATION
Student's Full / Legal Name
*
First Name
Last Name
Student Phone Number
*
-
Area Code
Phone Number
Student E-mail
*
Student Birth Date
*
Please select a month
January
February
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Month
Please select a day
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Day
Please select a year
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Year
Gender
*
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Academics
Academic GPA
*
Schools to which you are applying
School 1
*
School 2
School 3
Will Live
Please Select
on campus
at home
Major(s) You Are Considering
In order of preference, list the major(s) you are considering (Very important for scholarship eligibility).
Major 1
*
Major 2
Major 3
Estimated cost
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PERSONAL DATA:
(optional scholarship identification for specific scholarships)
Elementary School(s) Attended
*
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REFERENCES:
Please list one educator and at least one community person who would recommend you for a scholarship. Please do not list the person who completes a scholarship recommendation for you.
Reference 1 Name (Position,Phone Number)
*
Reference 2 Name (Position,Phone Number)
*
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SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:
List name of club, etc. and years of participation. If you volunteered, list the name of organization and the number of hours, weeks and years that you volunteered. If you worked, list the company, hours per week and length of time.
School Activities / Offices Held 1: (not sports)
*
School Activities / Offices Held 2: (not sports)
School Activities / Offices Held 3: (not sports)
School Activities / Offices Held 3: (not sports)
Community Service / Volunteer Activities 1 (outside of school)
*
Community Service / Volunteer Activities 2 (outside of school)
Community Service / Volunteer Activities 3 (outside of school)
Sports Participation 1
*
Sports Participation 2
Sports Participation 3
Travel Experience or Unusual Experiences (study abroad, etc.)
*
School / Community Awards and Honors 1
*
School / Community Awards and Honors 2
School / Community Awards and Honors 3
EMPLOYMENT 1: List past and present work and length of time employed.
*
EMPLOYMENT 2: List past and present work and length of time employed.
EMPLOYMENT 3: List past and present work and length of time employed.
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Father Name
*
Mother Name
*
First generation to attend college?
*
Yes
No
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STUDENT STATEMENT (Tell us more about you!):
*
Submit
Should be Empty: