DollarForHumanity

Scholarship Name

Name*

E-mail*

Daytime Phone Number*

Date of Birth*

Place of Birth

Languages

Gender*

Address*

City*

Parish/State*

ZIP Code*

Country *

School*

Campus Address*

City*

Parish/State*

ZIP Code*

Country*

Phone*

E-mail*

Marital Status*:

Single Married Divorced Separated

Number of Dependent Children

School where scholarship will be used:

School attending if different from above:

FALL 2023-2024 CLASSIFICATION:

Junior Senior Other

SUBJECTS:

Major

Minor

Expected Graduation Date

Overall Grade/GPA*

THE FOLLOWING MUST BE ATTATCHED TO THIS APPLICATION

• The applicant must submit a 250 words Personal statement written by the applicant.
• The applicant must provide a current high school record.
• Listing of other scholarships, awards, and/or grants with the amount received (if any)
• A passport size photo signed by JP
• The applicant must provide a letter of recommendation from school staff, or a reputable community member and must be signed by a Justice of the Peace.

Upload Required Documents*

Dollar for Humanity Inc. Educational / Academic Excellence Program APPLICATION FOR SCHOLARSHIP

THE FOLLOWING MUST BE ATTATCHED TO THIS APPLICATION

Dollar for Humanity Inc.
Educational / Academic Excellence Program
APPLICATION FOR SCHOLARSHIP