2025 Maine Chapter Scholarship
Eligibility Requirements
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date
Are you a Citizen of United States?
*
Yes
No
Legal Guardian Name
*
First Name
Last Name
Name of the Maine Chapter Professional you are related to
*
Relation to applicant?
*
Name of College / University?
*
College / University Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of High School
*
High School Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Graduation
-
Month
-
Day
Year
Date
Please explain your current or tentative plan for schooling post High School. If you are currently enrolled in college, please explain your current field of study.
Please list and explain any community activities, volunteering, extracurricular activities and sports in which you have participated or currently involved with.
In 250 words or more, please tell the Scholarship Committee why you should be awarded a Maine Chapter Scholarship.
Please upload a copy of your College / University acceptance letter.
*
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Please upload any letter(s) of recommendation.
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Please upload your final 2024 High School transcript.
*
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Please upload a headshot photograph or professional picture of yourself.
*
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Submit
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