2026 Merle Kirkley Student Scholarship Application Survey

The Association for Learning Environments does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, military status, or any other restricting classification in its selection of scholarships.

1.Please enter your contact information.

Full Legal Name

School you Attend

Year of Study (senior, junior etc)

Home Address

City/Town

State/Province

ZIP/Postal Code

Email Address (not a school email)

Home or Cell Phone Number

2.I hereby affirm my desire to be considered for the A4LE Merle Kirkley Scholarship. I understand that this application will be available only to qualified students for their use in the scholarship selection. I affirm that the information contained herein is true and correct to the best of my knowledge and belief.

Yes I affirm

3.From which high school did you graduate/currently attending (name and address please)

4.College / University you are enrolled (name, city, state)

5.College Major:

6.College / University address where scholarship funds should be sent (EX: University of Michigan-Scholarship/Financial Aid office)

Participation and Curricular Achievement

Complete Achievement Form by chronicling your involvement, leadership and achievement in school, college, community activities or employment. These achievements can include, but are not limited to fine arts, music, sports, acting, theatre, dance, writing, debate or involvement in social, religious, scientific, military, civic and leadership organizations. Be sure to specify the number of years of involvement, as well as positions of leadership. Please attach additional sheets of achievement and leadership detail if needed.

Use the necessary comment boxes below for this section.

7.Please list the organization, leadership positions, activities and/or responsibilities and hours per month

8.Please list the organization, leadership positions, activities and/or responsibilities and hours per month

9.Please list any volunteer activities and/or responsibilities and hours per month

10.Please list any vocational/trade/ Advanced Placement or College Courses taken

11.Why should we select you as a scholarship recipient?

12.Describe how you contribute to your community or have made a difference in someone else’s life. What responsibilities did you take on, how long were you involved and what was your approximate weekly hourly commitment?

13.ESSAY FORM(Required.)

Just as a building requires a team to envision, design, construct, furnish and operate, so does a community need active participants to make it thrive. Actively participating in a high school community is a mixture of common interests and the structure the building offers to express those values. In 1,000 words or less, please describe how your high school has contributed to your sense of community and how you engage with it. Also, please describe the changes that you would propose to the design or furnishings of your high school that you feel once implemented, would improve the quality of education and sense of community.

No file chosen

14.Please upload high school transcripts, copy of enrollment evidence/acceptance letter, any additional leadership participation forms and 3 letters of character recommendation as a single file

No file chosen

Thank you for submitting your application for the 2026 Merle Kirkley Student Scholarship.

Applications close June 5th, 2026, and will be notified by June 18, 2026.

PLEASE NOTE: You will not receive a confirmation from Survey Monkey- once you click DONE- SUBMIT we have received your application.