BDMW Foundation Scholarship Application

Name
First MI Last
Address
Number and Street, City, State, Zip Code
Email
example@example.com
Phone
High School
GPA
A Fun Fact About You
College to Attend in the Fall
Desired Field of Study
Other Scholarships Received/Anticipated
School Activities
Activities Outside of School
Community Service Activities
Honors/Awards Received
Why Should You Be Awarded This Scholarship?
Applicant’s Signature

Clear
Date

MonthDayYear
(If applicant is under the age of 18)

Clear
Relationship to the participant
Date

MonthDayYear
File Upload:
The following documents are to be submitted:

1. 1-2 Page Essay

2. 1 Letter of Recommendation (1 additional Letter of Recommendation will be accepted)
File Upload

Cancelof
Name of Participant
Address
Student Phone Number
Parent/Guardian(s) Phone Number
I hereby authorize The BDMW Scholarship Foundation to use any photos and/or videotape materials taken of myself for submission of my application for the scholarship on their website, or by any other means in which the Foundation promotes its scholarship opportunity.

Each party agrees that the electronic signatures below, whether digital or encrypted, are intended to authenticate this Release and to have the same force and effect as manual signatures.
Participant Signature

Clear
Date

MonthDayYear
Parent/Guardian Signature:
(If applicant is under the age of 18)

Clear
Relationship to the participant
Date

MonthDayYear
BDMW Foundation Scholarship Application
Should be Empty: