The Dan Collins Scholarship Award Application

Personal Info

First Name

Middle Initial

Last Name

Date of Birth

Gender

Male

Female

US Citizen

Yes

If not a United States Citizen, list your type of legal United States residency:

Contact Info

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Mobile Phone

Home Phone

School Info

Current or intended field of college level of study:

Will you be taking 12 or more credit hours this coming semester?

Yes

College or University you will be attending this fall:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Considerations

List any academic awards, extracurricular activities, leadership roles, etc., to be considered for this scholarship.

Transcript

Provide a transcript showing a high school or current College/University GPA level of at least 2.5.

One file only.
10 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Essay #1

Provide a one page essay explaining why you should receive this award.

One file only.
10 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Essay #2

Provide a one page essay recounting how you may use your degree and knowledge gained from your education.

One file only.
10 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Letters of Recommendation

Provide up to three letters of recommendation.

Maximum 3 files.
30 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

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