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Applicant Information
First Name
*
Last Name
*
Home Address
*
Address Line 1
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Zip Code
Phone Number
*
Date of Birth
*
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Email
*
Email
Confirm Email
High School Information
High School Name
*
High School GPA
*
Extracurricular Activities
Please provide your leadership experiences, work experiences, sports teams, awards, and honors.
University Information
If you are currently enrolled please document your most current information. If you are a senior in high school please document all the information you know about your University of choice.
University Name
*
Student Number
University Address
*
Address Line 1
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Cumulative GPA
*
Expected Year of Graduation
*
Degree
*
Estimated Annual Expenses
Tuition and Fees
*
Room and Board
*
Books and Supplies
*
Transportation Expense
*
Other Expenses
Total Annual Expenses
*
Anticipated Annual Income
Contribution from Student
*
Contribution from Parents
*
Loans
Other Grants or Scholarships
Other Income
Total Annual Income
*
Need
Expected Family Contribution
The EFC should be the amount reported on your FAFSA Form
Total amount of Annual Anticipated Need
Recommendations
Please provide the name and email address of your two references
Reference Name 1
*
Reference Email 1
*
Reference Name 2
*
Reference Email 2
*
Attachments
Please provide the following:
Current Transcript (PDF ONLY)
*
Please upload your most current high school or university transcript
Acceptance letter from school (PDF ONLY)
*
Most Recent Student Aid Report (SAR) from FAFSA (PDF ONLY)
*
Personal Essay (PDF ONLY)
*
In 1000 words or less, describe your career goals and how your career will relate to the purpose and mission of The Pearl Mae Foundation. Also, how would the scholarship impact your ability to pursue your educational goals?
Letter of Recommendation (PDF ONLY)
*
Letter of Recommendation (PDF ONLY)
*
Statement of special circumstances (optional)
In 1-2 paragraphs, provide a statement explaining any personal or family circumstances affecting your need for financial assistance
Resume (PDF ONLY)
Confirmation of following The Pearl Mae Foundation Facebook
Confirmation of following The Pearl Mae Foundation Facebook
*
Please confirm that you have 'liked' our official Facebook page. This will allow us to keep you up to date will everything scholarship related. https://www.facebook.com/thepearlmae/
Release of photographs, images and/or storylines:
Release of photographs, images and/or storylines (copy)
*
For good and valuable consideration, the receipt of which is hereby grant PEARL MAE FOUNDATION, INC. (“PMF Corp”) permission to use my likeness, image, photograph, and/or storyline in any and all of its publications, including but not limited to all of PMF Corp’s printed and digital publications. I understand and agree that any photograph or image or story using my likeness will become property of PMF Corp and will not be returned. I hereby hold harmless and release and forever discharge PMF Corp from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other person(s) acting on my behalf or on behalf of estate have or may have by reason of this authorization
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