2018 Application Form - RISE Scholarship

RISE Scholarship Application Form

Application Deadline - June 30, 2018
Read and follow the instructions carefully prior to submitting your application. (Include link to instructions here). All winners will be notified on or before the 10th of July 2018.
Read and Understand the instructions.*

Yes, I have
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Applicants Parent(s)/Guardian(s)*

First NameLast Name
Name of Applicants Parent(s)/Guardians

First NameLast Name
Optional Informations :

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards.
Gender:

MaleFemaleTrans/NB/Other
Are you a US citizen?

YesNo
Ethnic Origin:

HispanicNon-HispanicNot Indicated
Race (Choose one or more):

WhiteBlack or African AmericanAsianAmerican Indian or Alaskan Native Hawaiian or Other Pacific IslanderNon-Resident Alien
Status at the time of application:

I will graduate high school in May/June 2018I will be an incoming freshman graduating high school prior to 2018I have attended college but have less than 32 college credit hoursI have attended college but have at least 32 or more college credit hoursI am a GED graduate with no college credit hours
Are you a first generation college student ?

Yes, I am the first among my parents or grandparents to attend college.No, either my parents or grandparents have attended college.
Have you submitted a previous application for admission?*

YesNo
II. High School Information:
High School Attended:*
Year of High School Graduation or GED:*
Most recent cumulative GPA:*
High School activities, community activities, volunteer work, honors, offices held:
III. College Verification

This section must be completed with your letter of acceptance uploaded, with the other required documentation, as listed in the instructions.
List the name of the accredited school you will be attending in the fall of 2018 *
IV. ACT Information:
Year you took the ACT:
ACT composite (overall) score?
All scholarship applicants reporting an ACT score will be asked to provide official verification.
V. SAT Information:
Year you took the SAT:
EBRW (Evidence Based Reading and Writing) Section
Math Section
Optional Essay Section
SAT Composite (overall) score?
All scholarship applicants reporting an SAT score will be asked to provide official verification.
VI. For Students Currently Enrolled at College :
Approximate credit hours completed by June 2018:
Current GPA:
School activities, honors, offices held, etc.:
VII. Scholarship Applied For

Please indicate the scholarship for which you are applying:
Scholarship Names*

Promise ScholarThe EBMS Family ScholarshipTomorrows' InnovatorRISE Scholar
VIII. Essay
Your essay should be at least 500 but no more than 1000 words. Your essay should address the specific topic for each scholarship as listed in the instructions. You may need to include your choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.
Title of Your Essay*
Essay:*

0/1000
Supporting Documents

Please upload a copy of the required documents listed in the instructions.
File formats: .pdf and .doc*

Upload a File
Please combine all pages into one file. Cancelof
File formats: .pdf and .doc

Upload a File

Cancelof
File formats: .pdf and .doc

Upload a File

Cancelof
File formats: .pdf and .doc

Upload a File

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VIII. Follow Up Questions
1. If I am selected as a scholarship winner, I understand it is my obligation to provide a photo or be present at the RISE Awards for a photograph:
*

Yes
2. I am a prior recipient of a RISE Scholarship? If yes, please provide the name of the scholarship below:
YesNo
If yes, name of scholarship
3. I have signed and submitted the attached "Assignment of Rights & Consent to Publish Scholarship Information":
Yes
4. I understand that if I am chosen as a scholarship winner, if I do not enroll in and attend classes at an accredited institution of higher education, I will be required to repay all scholarship funds that I receive.
Yes
IX. Assignment of Rights & Consent To Publish Scholarship Information
KNOW ALL PERSONS BY THESE PRESENTS:

THAT I, the undersigned, do hereby give THE ONE LESS FOUNDATION full rights to publish my name, where I live (city, state, and country only; actual street addresses and phone numbers will not be disclosed), my pertinent family information, college I am attending, photographs that I have provided, and college update information.

I understand that by execution of this agreement, I am relinquishing my rights to any future compensation for reproduction, publication or use of the above information by THE ONE LESS FOUNDATION in its print or electronic correspondence, on its website and or social media sites.

I hereby specifically waive my right to review or approve THE MODIFICATION of the above information. (Modifications may be made to accommodate size or content restrictions. Modifications will not be made to “distort” or “falsify” any information provided.)

I understand that this Agreement in no way obligates THE ONE LESS FOUNDATION to publish or use the above-described information.
Select to confirm the above statement:*

Yes
X. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Date Submitted

MonthDayYear
THE ONE LESS FOUNDATION is committed to equal opportunity in education. The organization does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Should be Empty:

RISE Scholarship Application Form

I. Personal Data:

II. High School Information:

III. College Verification

IV. ACT Information:

V. SAT Information:

VI. For Students Currently Enrolled at College :

VII. Scholarship Applied For

VIII. Essay

Supporting Documents

VIII. Follow Up Questions

IX. Assignment of Rights & Consent To Publish Scholarship Information

X. Applicant's E-Signature