Application Form-To Be Completed By The Applicant

Submit applications by April 15. Incomplete applications will not be considered. After submitting this form please email your transcripts and letters of support to scholarship@athenpro.org.

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* 1. Name:

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* 2. Address:

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* 3. Phone:

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* 4. Email:

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* 5. Disability (Optional):

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* 6. Year of graduation from high school (if less than 5 years ago):

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* 7. Are you currently registered at a postsecondary institution in the United States?

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* 8. If yes, please specify:

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* 9. If you have been admitted but are not currently registered at a postsecondary institution in the United States please indicate when you plan to register.

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* 10. Identify postsecondary institutions in the United States, with majors and minors you are pursuing.

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* 11. In chronological order of attendance, list all formal education after high school, including all colleges and universities, technical training, other comparable academic education. For all institutions listed below, please email transcripts to scholarship@athenpro.org. Unofficial transcripts that are issued free of charge are acceptable.

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* 12. Give an overview of your educational pursuits and goals. If you have aspirations for future academic study or for a specific career, discuss your plans. (Please limit your response to 1,000 words or less.  You may wish to copy and paste your response from a text editor.)

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* 13. Describe your past formal and informal experience, including work, community or student activities and leadership positions. (Please limit your response to 1,000 words or less.  You may wish to copy and paste your response from a text editor.)

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* 14. Two Letters of Support (Please check the box to confirm that you have read and agree to the following statement.) 

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* 15. Please list the name and contact information for the individual (other than the ATHEN member) you’ve asked to write a letter of support for this scholarship.

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