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Scholarship Application Form

McGarlen Excellence & Leadership Scholarship Program

Personal Information

First Name

Last Name

Date of Birth

Gender

Email Address

Confirm Email Address

Phone Number

Address 1

Address 2

City

Region/State

Postal / Zip Code

Country

Nationality

Academic Background

Highest Level Of Education

High School Attended

University/College Attended

Date of Graduation

GPA or Equivalent Grading System

Academic Honors/Awards

Program of Interest

Intended Start Date

First Choice University/College

Preferred Major/Field of Study

Second Choice University/College

Preferred Major/Field of Study

Third Choice University/College

Preferred Major/Field of Study

More Information

Native Language

What is your USA residency status?

Housing Preferences

Do you have any special accommodation needs?

Are you a special needs or disabled or challenged in any way?

Do you require special disability accommodations or support services?

Leadership Experience

Briefly describe any Leadership Roles you have held and how they have impacted your personal growth and development

Briefly describe in what ways do you envision yourself contributing to your community and country, if awarded this scholarship

Upload Documentation

Resume/CV (PDF, JPG, PNG)

Transcript (PDF, JPG, PNG)

School Certificate (PDF, JPG, PNG)

Government Issued ID (Passport, Drivers License, National ID Card )(PDF, JPG, PNG)

Certification

I certify that all information provided in this application is true to the best of my knowledge. I understand that any false information may result in the rejection of my application or revocation of the scholarship.

10+5=?

Review carefully before submitting your application