Scholarship Application

Section 1 - Personal Information

Name (Last, First, MI, Maiden)*

Student ID (LoLA #)*

Permanent Address (Street, City, State, ZIP Code)*

Date of Birth (month/day/year)*

Phone Number*

Last Four Digits of SSN*

Email Address*

Section 2 - Academic Information

Name of High School

Guidance Counselor's Name

Guidance Counselor's Email

ACT or SAT Composite Score

Math Score

Reading Score

English Score

Science Score

Continuing or Transfer Students Only

Please fill out the following section if you are a continuing or transfer student.

Name of College(s)Please provide this information if you are a transfer student who previously attended another college.

GPA

Number of Earned Credit Hours

Major

Section 3 - Activities and Interests

How many extracurricular activities are you currently involved in?

Extracurricular Activity Descriptions

List and briefly describe the two extracurricular activities that are most important to you.

Name of First Organization/Association

Your Role/Position at First Organization

Dates of Affiliation/MembershipPlease indicate starting month/year and ending month/year.

Name of Second Organization/Association

Your Role/Position at Second Organization

Dates of Affiliation/MembershipPlease indicate starting month/year and ending month/year.

List Honors or Academic Awards You Have ReceivedPlease include the award/honor, institution/organization and date received.

Section 4 - Short Essay

Write a short essay (max 250 words). Please note that the essay is required for scholarship consideration.

In your essay, answer the following questions:

Why did you choose to attend Delgado and how do you feel it will prepare you for success?
How will you be financing your college education?
How will a scholarship impact your plans?
What else should we know about you (outside the content of this application)?

Enter your essay here.

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Scholarship Application