Clone of Scholarship Application Form

Scholarship Application

Complete submission due by April 1st. Incomplete submissions will not be considered. Notifications will be made to awardees by May 15th.
Applicant Eligibility:
- Graduating High School Senior at a Burlington County, New Jersey school
- Volunteered at least 15 hours of verifiable community service
- Must submit a completed application by April 1st
Scholarship Types:

Austin Conrad McIntosh Scholarship. Awarded to a student pursuing a STEAM (Science, Technology, Engineering, Arts, Math) related major and/or career field. Amount: $2,500

Make a Difference Scholarship. Awarded to an innovative student who has demonstrated innovative thinking and plans to use innovation and creativity to make a positive difference in our world. Amount: $1,500

Yes We Can! Scholarship. Awarded to a student making significant contributions to their community with aspirations to enhance their community on a larger scale in their future through programs, projects, elected office and/or community activism. Amount: $1,500

Scholar Athlete. Awarded to a student dedicated to the pursuit of their athletic dreams. Amount: $1,500

Vocational Excellence. Awarded to a student who earned their license /credential to demonstrate vocational excellence after high school. Amount: $1,500
Which scholarship are you competing for?*
Student's Full Legal Name*

First NameLast Name
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Phone Number*

Area CodePhone Number
Student E-mail*
Student Birth Date*

MonthDayYear
Gender
Parent Name*

First NameLast Name
Parent/Guardian E-mail*
example@example.com
Academic Experience

Share the highlights of your academic experience.
High School(s) Attended*
Include School Name, City and State
Overall Academic GPA*
Upload your unofficial transcript

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Middle School(s) Attended*
Include School Name, City and State
Elementary School(s) Attended*
Include School Name, City and State
Life Beyond High School

Share your plans beyond high school
First Choice School or Military Branch*
Include School Name, City and State
Major You Are Considering

In order of preference, list the major(s) you are considering.
Major 1 or Vocation or Military Specialty*

PROFESSIONAL REFERENCES

List one educator and at least one community person who would recommend you for a scholarship. No family members may complete this portion. ATAP Foundation may contact the references for verification.
Reference 1: Educator Name*

First NameLast Name
Job Title/Subject Area*
School*
School Name. City, State.
Email*
example@example.com
Phone Number*

Area CodePhone Number
Reference 2: Community Member Name*

First NameLast Name
Title*
Email*
example@example.com
Phone Number*

Area CodePhone Number

TIME TO SHINE
Upload an attachment and/or resume if you think it strengthens your packet.

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Share your unique experiences that differentiate you as an applicant for the scholarship you are interested in receiving.*
High School Sports Participation 1*
What sport did you play? What was your position on the team. How many years did you participate?
High School Sports Participation 2
What sport did you play? What was your position on the team. How many years did you participate?
School Activity #1 or Club (not sports)*
What office(s) did you hold? How many years did you participate in high school?
Community Service / Volunteer Activities 1 (outside of school)*
What is the name of the organization? Describe your involvement. How many hours did you volunteer?
Provide the email address for who can verify your service. *
example@example.com
Community Service / Volunteer Activities 2 (outside of school)
What is the name of the organization? Describe your involvement. How many hours did you volunteer?
Provide the email address for who can verify your service.
example@example.com
List Your School Awards and Honors*
Include award name and year received.
Upload supporting documents (Optional)

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EMPLOYMENT: Employer's Name, City & State (Optional)
EMPLOYMENT Details: Job Title, Year(s) employed (Optional)
Upload your resume (optional)

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Getting to Know You!

The mission of ATAP Foundation is to empower the youth and to enhance the community and this scholarship is one of many ways that ATAP lives out its mission.
Essay

Share with us about your future plans. In a well-written 500 word essay describe where you see yourself 10 years from now in terms of your education, profession, and community involvement.
Upload your essay.*

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Video

Share with us a video about how this scholarship will help you achieve your future plans. Video limit is 1 minute.
Link to video submission*
Type the link to your video submission. YouTube, vimeo, etc.
- Complete submission due by April 1st.
- Incomplete submissions will not be considered.
- Notifications will be made to awardees by May 15th.
Should be Empty:

Scholarship Application

Academic Experience

Life Beyond High School

Major You Are Considering

PROFESSIONAL REFERENCES

TIME TO SHINE

Getting to Know You!

Essay

Video