Dr. Kelsea Monet Randolph Memorial Scholarship Application
The deadline to apply is
March 7, 2025, 11:59 pm
. Please direct all questions to
bmrtwo@gmail.com
.
Date
*
-
Month
-
Day
Year
Date
Student Name:
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Phone Number
*
Please enter a valid phone number.
Student Email
*
example@example.com
Current High School
*
Please list the full name of your High School
Weighted GPA
*
HBCU planning to attend in the Fall
*
Anticipated Major
*
Upload Transcript
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you already been accepted?
*
Yes
No
Parent/Guardian Name:
*
First Name
Last Name
Parent Phone Number
*
Please enter a valid phone number.
Parent Email Address
*
example@example.com
Please share a little information about yourself and indicate why you should be chosen for this scholarship (minimum 300 words).
*
0/0
Submit
Should be Empty: