Ashley Strong Memorial Scholarship for Social Justice: Application Form
Important Information, Requirements and Instructions-
Applications accepted from January 1 to June 1
Only fully-completed applications meeting requirements below will be accepted.
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
E-mail
*
Confirmation Email
Mailing Address
*
Street Address
Apt/Unit #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Educational Status
*
Number of completed academic credits
*
Current Cumulative GPA
*
(High school students, report unweighted GPA)
Current Class Schedule
Browse Files
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Upload transcript
*
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(unofficial copy is acceptable)
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Upload Social Justice Essay
*
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reminder: 600 word limit
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Reference #1
*
Reference #2
*
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Information Release Authorization
If you are selected as a recipient, we would like to to publish your name and photos of you. This is NOT a requirement and will NOT affect your eligibility.
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Declaration
By signing below, I hereby declare that all information provided above by me is accurate. I also accept that I may be required to show proof of enrollment during the term in which I receive the scholarship.
Signature
*
Date
*
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