Student Applicant Privacy Statement
The Old Dominion Scholarship Application site collects two general types of information: (a) information you voluntarily provide through the site, which may include personal information (such as your demographic information, essay response, etc.), and (b) information the application has required for qualification or eligibility purposes (such as major, GPA, student college info, etc.). Old Dominion (VA) Chapter, The Links, Incorporated does not sell or make available any information about applicants or their data without the expressed permission of students and parents/guardians except as might be required by a law enforcement agency in regard to copyright/patent violations or unlawful acts. Old Dominion (VA) Chapter, The Links, Incorporated, maintains a database of user information, which is used only for internal purposes such as award determinations, records keeping and connecting with students in the future term. This Scholarship Application collects personal information that you knowingly and voluntarily provide. It is this site's general practice to use personal information only for the purposes for which it was requested, and any additional uses specifically stated on the jotform.com site. Questions regarding the Student Applicant Privacy Statement may be emailed to ODCscholarships@outlook.com.
Student Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Parent/Guardian Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Financial Need
To be considered for a 'Need-Based' Scholarship Award you must demonstrate strong financial need and answer the following questions:
Number of Family members living in the home:
Number of Siblings residing in the home:
Number of Siblings attending college or dependent on primary household:
Have you applied for and/or received any other financial assistance for the 2024-2025 school year? If so, please indicate the donor(s) and amount of each.
Yes
No
Family Income (approximately)
Greater than $200,000
$199,999 - $100,000
$99,999 - $50,000
$49,000 or less
Other Financial Assistance (Applied and/or Received)
High School Information
Name of School
*
Cumulative GPA
*
Anticipated Graduation Date (approximately)
-
Month
-
Day
Year
Date
High School Transcript - Submit an official copy of your school transcript. If submitting Fall/Winter transcripts, Committee reserves the right to require Spring transcripts and/or confirmation of grades before awarding.
*
Browse Files
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of
Extracurricular Activities - List school clubs or organizations you have participated in over the last four (4) years of high school and positions held in each. Use the "+" button to add or list more extracurricular activities. Type "N/A" if you did not participate in any activities.
*
Honors and/or Awards - List any honors or awards you have received over the last four (4) years of high school. Use the "+" button to add or list more honors/awards. Type "N/A" if you do not possess any awards.
*
Community Service - List all community service activities that you have participated in over the last four (4) years of high school. Service can be affiliated with your school or another organization from all four years of high school. Use the "+" button to add or list more community service. Type "N/A" if you do not possess any service.
*
Letters of Recommendation (3 Letters)
Provide three (3) letters of recommendation from persons who can attest to your academic achievement and/or character. Two (2) letters MUST be from faculty members at your high school; one (1) letter may be from a community member, family, friend or neighbor.
Upload 1st Faculty Letter of Recommendation
*
Upload Letter #1
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of
Upload 2nd Faculty Letter of Recommendation
*
Upload Letter #2
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of
Upload Letter from Community member, family or friend
*
Upload Letter #3
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of
College and Career Aspirations
Proposed College Major/ Minor
*
(e.g. Field of Study)
Projected Enrollment Date
*
(e.g. August 2024)
College Applications/Acceptances. Please list the Colleges/Universities to which you have either applied or been accepted. Use the "+" button to add or list more community service.
*
Provide a brief statement (1-2 sentences) of your career aspirations:
*
Student Applicant Essay
In 300 words or less, explain how receiving this scholarship will support your educational and career aspirations. Include a clear explanation of your financial need (e.g., tuition, fees, books, housing, transportation) and how the scholarship would reduce barriers to completing your degree and help you stay on track to graduate.
Insert your essay here
*
0/300
Student Official Photo - Please submit a photo/headshot for our media use and website feature. Please complete and sign our Photography Release Form online (https://odclinks.org/documents/ODCLinkScholarshipPhotoRelease.pdf)
*
Upload a Professional Headshot
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Student (Applicant) Signature
*
Parent/Guardian Signature
*
Submission Date
*
-
Month
-
Day
Year
Date
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Submit
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