SLH Foundation Fellowship Application

The Sandra L. Heyman (SLH) Foundation

Spring 2025-Spring 2026 Science, Technology, Engineering, and Math (STEM) Fellowships APPLICATION DEADLINE - December 3, 2024
Thank you for your interest in The SLH Foundation’s STEM Fellowship! Applications for Fellowships will be accepted through December 3, 2024. Questions can be sent to: apply@theslhfoundation.org.

For more information about the Fellowship program, visit: https://www.theslhfoundation.org/. Decisions about the selection of Fellows will be made by the Foundation in December. All applicants will be notified about decisions via email.

Eligibility Requirements
- Applicants should be enrolled as a sophomore at a high school in the Washington, DC-area (including Montgomery County, MD; Washington, DC; and the Baltimore Ingenuity Project) for the 2024-2025 school year. Note: If you do not currently meet our eligibility requirements and are interested in participating in the Fellowship, please contact us.
- Applicants should be interested in science, technology, engineering, and/or math as shown by one or more of the following:
  - Participation in science or technology fairs
  - Prior internship or employment with a STEM connection
  - Participation in clubs or teams with a STEM connection
  - Other extracurriculars, projects, or hobbies, including but not limited to those involving STEM
  - A stated desire to learn more about STEM careers based on a particular motivating factor
Application Components
- Applicants must complete this application, including the brief essay questions listed below.
- All items with a red asterisk (*) are required
- If the applicant elects to submit a video introduction, they should provide instructions on how the application committee can view the video (e.g. provide a YouTube link, Dropbox link, Google Drive link, send the video via email).
- The applicant must sign and submit the statement found at the end of this application affirming their commitment to participate in the fellowship, if selected. Three to four events are planned per semester.
- The applicant’s parent or guardian must also sign and submit this release form acknowledging and accepting the Limitation of Liability Release and providing their approval of the applicant’s participation in the fellowship program, if selected. This approval must be provided when the application is submitted.
Statement of Equal Opportunity

SLH Foundation Fellowships are available to all applicants without regard to race, color, creed, religion, national origin, gender, sexual orientation, age, marital status, disability, citizenship, or veteran status in accordance with applicable federal, state, and local laws.

Thank you! We look forward to receiving your application!
PLEASE NOTE:

THIS APPLICATION CANNOT BE SAVED IN-PROGRESS FOR COMPLETION AT A LATER TIME.
I. Applicant Contact Information
First Name*
Last Name*
Preferred/Nickname
Birthdate*

MonthDayYear
Phone #*
Phone Line Type*

HomeMobileParent
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

CityState

Zip Code
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Name*
Graduation Year*
Parent/Guardian Contact Information (Required)*

First NameLast Name
Relationship
Email
*
Phone
II. Brief Essays
1. Tell us about your STEM-related interests and activities to date. What excites you about STEM? (Fewer than 350 words)*

0/350
2. What are you hoping to gain from this Fellowship? What are your current thoughts on your future career path? We want to know where you see yourself in the future. (Don’t know? That’s okay, too - we want to help you to figure that out!) (Fewer than 250 words)*

0/250
III. Additional Information
How did you learn about the SLH Foundation Fellowship?*
Most events will be held weeknights from 7-8 pm over Zoom. Events take place January-April and September-December. Are there any days or specific dates which will present conflicts for you?
Help us get to know what makes you, you!

What is your favorite:
Food
Music
Book
Subject in School
Hobby or Interest
Tell us one fun thing about you - it doesn't need to be related to STEM! (Fewer than 100 words)*

0/100
Video Introduction (Optional)

Please submit a 1-2 minute video telling the selection committee about yourself and why you are interested in becoming a Fellow. Include a unique message, fun fact, or statement that will leave an impression on our reviewers. You may draw upon your brief essays if you would like to – or say something entirely new! Please either send the video to our email (apply@theslhfoundation.org) or provide instructions below on how we can access the video.
video introduction access instructions
Information regarding gender, ethnic origin, and citizenship are optional. The information is requested for post-award demographic reporting and will not be shared with any third parties.
Gender

FemaleMaleNon-BinaryOtherPrefer not to answer
Pronouns
Ethnicity

American Indian or Alaska NativeAsian or Asian AmericanBlack or African AmericanHispanic or Latino/aMiddle Eastern or North AfricanNative Hawai'ian or Pacific IslanderWhite or EuropeanOtherPrefer not to answer
Are you a US citizen?

YesNoPrefer not to answer
IV. Applicant's E-Signature
Permission to Use Fellows’ Images:
From time-to-time, Fellows may be photographed and/or videotaped for promotional or
informational purposes. Any such photographs, films, recordings, or electronic images shall
be the sole property of The Sandra L. Heyman Foundation. From time to time, The Sandra L.
Heyman Foundation will issue brief updates about the Fellowship program’s activities via
its website, flyers, and social media postings.
Please check one of the options below:*

I agree with the above terms and give permission for the Foundation to use photos or video of me while engaged in Fellowship program activities for information and promotional purposes.I do not wish the Foundation to use photos or video of me while engaged in Fellowship program activities for any purposes.
Applicant Commitment to Participate

My signature below affirms my commitment to participate fully in The SLH Foundation STEM Fellows activities, if selected.
Signature*

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Date*

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Date
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The Sandra L. Heyman (SLH) Foundation

I. Applicant Contact Information

II. Brief Essays

III. Additional Information

IV. Applicant's E-Signature