Upper Division Scholarship Application

1
Legal Name* This field is required.
First Name
Last Name
2
Date of Birth* This field is required.
Date
Month
Day
Year
3
Email* This field is required.Please provide your email address..
example annbanning@algsd.org
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
4
Cell Phone Number* This field is required.
5
What is your Mailing Address* This field is required.
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
SECONDARY CONTACT* This field is required.In the event we are unable to reach you. Do you authorize us to speak to a secondary contact? If you select "yes", please fill in the information for this person in the boxes that follow. This person is not to contact ALGSD on your behalf unless it's an emergency. The purpose of this secondary contact is to serve as a backup way to reach you should all other avenues on file were to fail.
Yes
No
7
SECONDARY CONTACT'S NAME* This field is required.
First Name
Last Name
8
SECONDARY CONTACT'S PHONE NUMBER* This field is required.
9
SECONDARY CONTACT'S EMAIL* This field is required.
example annbanning@algsd.org
10
COLLEGE NAME* This field is required.Please enter the name of the college you are currently enrolled in.
11
ANNUAL EXPENSESPlease fill in the anticipated annual college expenses at the institution you hope to attend.
Amount
Tuition and Fees
Row 0, Column 0
Housing
Row 1, Column 0
Transportation and Parking
Row 2, Column 0
Books and Supplies
Row 3, Column 0
Other
Row 4, Column 0
Tuition and Fees
Housing
Transportation and Parking
Books and Supplies
Other
Amount
Row 0, Column 0
Amount
Row 1, Column 0
Amount
Row 2, Column 0
Amount
Row 3, Column 0
Amount
Row 4, Column 0
1 of 5
12
ESTIMATED PERSONAL FINANCIAL CONTRIBUTION* This field is required.Please enter how much you plan to contribute annually to your education.
13
ESTIMATED FAMILY FINANCIAL CONTRIBUTION* This field is required.Please enter how much your family plans to contribute towards your education.
14
SCHOLARSHIPS/GRANTS APPLIED FORIf not, select "NEXT" below.
15
COLLEGES/UNIVERSITIES TO WHICH YOU APPLIED* This field is required.Which four-year accredited colleges/universities have you applied to? What are the estimated annual expenses for each?
16
COLLEGE ACTIVITIESPlease list your college extracurricular activities
17
COLLEGE ACTIVITIES* This field is required.Please list your college extracurricular activities. (1500 character limit)
0/1500
18
COMMUNITY ACTIVITIES* This field is required.Please list your community volunteer activities. (1500 character limit)
0/1500
19
EMPLOYMENT HISTORYPlease list your work history starting with most recent.
20
EMPLOYMENT HISTORYPlease list your employment history in chronological order. (1500 character limit)
0/1500
21
PERSONAL STATEMENT 1* This field is required.What are your aspirations for the future and how do you see yourself making a difference for others? (2500 character limit)
0/2500
22
PERSONAL STATEMENT 2* This field is required.Please share any special circumstances you would like us to be aware of. (1500 character limit)
0/1500
23
COMMUNITY ACTIVITIESPlease list your community volunteer activities
24
NEW APPLICANT OR RE-APPLYING* This field is required.
New Applicant
Re-applying Scholarship Winner
25
After you submit, we will email you a secure link to upload your transcripts and letters of recommendation. If your files are ready now, you may also upload them on the next screens.
26
COLLEGE TRANSCRIPTSOnly PDF file type will be accepted. Prior to uploading please be sure to rename your files in the following format…J Doe Transcripts Sullivan College
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Cancelof
27
LETTERS OF RECOMMENDATIONOnly PDF file type will be accepted. Prior to uploading please be sure to rename your file in the following format…J Doe LOR from M Smith
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Cancelof
28
WILL SOMEONE ELSE NEED TO SUBMIT DOCUMENTS ON YOUR BEHALF* This field is required.If your school or someone else would prefer to upload a document on your behalf, select “yes,” then enter the sender’s contact information on the following screens. We will email them a link to securely upload the requested file.
YESNO
29
UPLOADER'S NAME* This field is required.
First Name
Last Name
30
UPLOADER'S EMAIL ADDRESS* This field is required.
example@example.com
31
TYPE OF DOCUMENT* This field is required.
Please Select
Please Select
Letter of Recommendation
Official Transcript
Other
32
ELECTRONIC SIGNATUREDon't forget to upload your documents. Your application is not received until you select SUBMIT; a saved draft is not sent to us. After you submit, we will email you a secure link to upload your transcripts and letters of recommendation. If you have any further questions, please feel free to email us at uds@algsd.org.
33
FOLDER NAME
34
Date
Date
Year
Month
Day
35
SEP
Should be Empty: