2023-2024 Dr. Juan Andrade, Jr. - Scholarship for Young Hispanic Leaders

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Full Name:* This field is required.
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Other
Country
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How did you hear about this scholarship?* This field is required.
Search Engine (Google, Yahoo, etc.)
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USHLI Event
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Date of Birth:* This field is required.
Date
Year
Month
Day
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Gender:* This field is required.
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Are you of Hispanic or Latino/a descent?* This field is required.Hispanic origin can be viewed as the heritage, nationality group, lineage, or country of birth of the person or the person’s parents or ancestors before their arrival in the United States. People who identify their origin as Hispanic, Latino, or Spanish may be of any race.
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No
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Please Specify your family's Country of Origin:* This field is required.Mexico, Puerto Rico, Cuba , etc... or any combination
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Are you a first-generation student?* This field is required.A first-generation student is defined as a student whose parent(s)/legal guardian(s) have not completed a post-secondary education.
Yes
No
I don't know
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What is your intended field of study or major?* This field is required.Engineering, Political Science, Business, Latino/a Studies, etc.
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Student Profile:* This field is required.
Current School Name
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High School
2-Year Community College
4-Year College or University
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Type
Most recent Unweighted Cumulative GPA
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High School Senior
Undergraduate Freshman
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Classification
Student ID
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College/University for Fall Semester 2025:If different from previous, please indicate where you will attend the 2025 Fall Semester.
Please select the most likely school you will be attending
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College address:* This field is required.
Street Address Line 1
Street Address Line 2
City
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Alaska
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California
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District of Columbia
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Texas
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Virginia
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State
Zip Code
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Please list any clubs or activities you would like to highlight:
Please copy and paste your response from a word document.
0/1000
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Tell us about your background:* This field is required.In 500-1,000 words, submit a self description including but not limited to, your family history (parents/guardian, siblings), life and/or work experiences that have influenced you. Finally, describe your most significant achievement. Did you overcome any obstacles or challenges? If so, how?
Please copy and paste your response from a separate document, .
0/1000
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Leadership Essay:* This field is required.Submit a 500-1,000 word essay on the future of Hispanics in America, the kind of leadership needed, and the role you hope to play in providing such leadership. Other questions you can focus on is how will this benefit your community? Or, what can Ford do to help you achieve your goals?
Please copy and paste your response from a word document.
0/1000
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Optional: Would you like to share any additional information with the committee?You may include any information that did not fit in your highlights, essays or resume.
Please copy and paste your response from a word document.
0/1000
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Portrait picture in Business Attire: * This field is required.Applicants must submit a recent photograph (high-resolution, color, print size - 4:3, 3:2 aspect ratio, PNG or JPG). The picture should be suitable (headshot) for any printed literature announcing the recipients; business attire should be worn when taking photos. Selfies are not accepted. Avoid cropped photos or watermarked photos
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Resume:* This field is required.Applicants must submit a one-page resume in PDF format of their work experience, academic accomplishments, and other relevant information.
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Word documents should be SAVED AS a PDF then uploaded
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Unofficial Transcript:* This field is required.Applicants must submit their most recent transcript, i.e. college freshmen please submit your high school transcript. All transcripts must be attached as a PDF document to this form. Unofficial Transcripts are accepted.
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Do you have two references?* This field is required.We require one (1) reference to be from an academic source and one (1) reference to be from a professional or community service setting.
YESNO
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Reference # 1* This field is required.We encourage you to request letters from your references early, even before you submit your application. When you request a recommendation, your reference will receive an email with information on how he or she can access the system to submit a recommendation on your behalf. Then, as soon as they submit the letter, it will become a part of your application record.
First Name
Last Name
Email
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Reference # 2* This field is required.We encourage you to request letters from your references early, even before you submit your application. When you request a recommendation, your reference will receive an email with information on how he or she can access the system to submit a recommendation on your behalf. Then, as soon as they submit the letter, it will become a part of your application record.
First Name
Last Name
Email
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Terms and Conditions:* This field is required.Please review this information carefully.
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