Application 2024 Online Application Step 1 of 3 33% ApplicantName(Required) First Last Email(Required) Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Pronoun(s) Home PhoneCell Phone(Required)Parent / GuardianName(Required) First Last Address Same as previous Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneEmail Additional InformationHigh School(Required) Mercer Island High School Rainier Beach High School Chief Sealth International High School Graduation Year(Required)202220232024202520262027202820292030Cumulative GPA(Required) Which colleges and/or universities have you applied to? Please indicate if you have been accepted, waitlisted, or are waiting for a response.(Required)Have you received other scholarships? If yes, please list scholarship and amount.(Required)In 250 words or less, describe how this scholarship would help you financially?(Required)In 500 words or less, describe an experience that demonstrates how you model the qualities of Dr. Stanley Ann Dunham. Be sure to include what you learned from this experience and the qualities you model.(Required)In 500 words or less, describe your academic interest and post-college graduation plans. How does your passion and interest shape your choice of a future course of study?(Required)You are welcome to upload your personal statement from your college application to answer the above listed question.Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 512 MB. Letter of RecommendationProvide one recommendation letter from a supervisor, school personnel, or mentor. Family members are not acceptable as references. Letters can either be uploaded or emailed directly to [email protected].Reference Name(Required) First Last Reference Email(Required) Relationship Letter of RecommendationAccepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 512 MB.Unofficial High School TranscriptUpload Your Transcript Here(Required) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 512 MB. Disclosure StatementI hereby grant the Stanley Ann Dunham Scholarship Fund permission to use my likeness in a photograph, video or other digital media in any and all of its publications, including web-based publications and promotional materials.Consent(Required) I give consentFor the purpose of this application, checking this checkbox completes this form. In the event of a scholarship award, a handwritten release and signature will be required. For questions, please email: [email protected].Date MM slash DD slash YYYY Email
