Scholarship Application Form

Profile
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Date of Birth

MonthDayYear
Social Security Number
Education History – High School
Name of High School
City
Expected Graduation Date

MonthDayYear
GPA Class Rank
SAT Math Score
SAT Verbal Score
Education History – Beyond High School
Name of Institution
Intended Course of Study
Graduation/Completion Date

MonthDayYear
Have you ever been convicted of a crime, suspended from high school, or required to withdraw (or not re-enroll) at any school?*

YesNo
If yes, explain the circumstances, in less than 300 words, what you learned from the situation. Note that answering “Yes” on this question does not disqualify you from consideration for the scholarship
Work Experience

Begin with most recent employer and include volunteer experience
Name of Employer 1*
Start of Employment*

MonthDayYear
End of Employment*

MonthDayYear
Job Description and Responsibilities*
Name of Employer 2
Start of Employment

MonthDayYear
End of Employment

MonthDayYear
Job Description and Responsibilities
Name of Employer 3
Start of Employment

MonthDayYear
End of Employment

MonthDayYear
Job Description and Responsibilities
Work Plans During College/University
Will you work during the school year?

YesNo
If “Yes”, briefly state where and the role
Will you work during summer break?

YesNo
If “Yes”, briefly state where and the role
Family Information

If parents are deceased or not providing support, provide information for guardian. If no parent or guardian is providing support, omit this section.
Applicant's Father or Guardian

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number
Occupation/Job Title
Name of Employer
Applicant's Mother or Guardian

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number
Occupation/Job Title
Name of Employer
Application Essay
Describe your motivation and aspirations in applying for this scholarship. You should also include information not addressed in other questions in this application, that will provide the Selections Committee a view of your personal story and achievements.
Supporting Material
High School Transcript for the past two years (up to December 31, 2023)*

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Choose one: Parents'/Guardians' Federal Income Tax Return (if they'll support you) OR Student Aid Report for federal student aid applicants*

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Certification of identity form signed by your high school administrator*

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References

Please acquire references from: (A) a teacher who has taught you in any of the last four years; and (B) to another person [not immediate family member] who knows you well.
Reference A – Name*
Reference A – Email Address*
Reference B – Name*
Reference B – Email Address*
Submit Application
Name of Applicant*

First NameLast Name
Date

MonthDayYear
Signature

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I certify that the information provided on this application and attached here to is complete and accurate. I commit to advise the committee of any changes between now and when I enroll in school. I also certify that if I am awarded a scholarship from the Ng foundation scholarship, I will maintain a 3.0 Grade point average and satisfy all other requirements for graduation. I understand that the scholarship is renewable for additional semesters (Quarters) only if I continue to meet the requirements for the Scholarship.
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Profile

Education History – High School

Education History – Beyond High School

Work Experience

Work Plans During College/University

Family Information

Application Essay

Supporting Material

References

Submit Application