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Reginald Broddie
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Mentoring Initiative
Gordonstoun International Summer School
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Welcome
About
Reginald Broddie
Donate To Trust
Programs
Mentoring Initiative
Gordonstoun International Summer School
Lego Jr. Masters
P-Tech Leadership program
Student Updates
HBCU Scholar
News
Resources
Contact
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Scholarship Application Form
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Step
1
of 6
Personal Details
Name
First
Last
Email
Birthday
Phone
Address
Address Line 1
Address Line 2
City
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
Next
Educational Background
List all high schools you have attended and GPAs achieved
Highschool Name
Address
Address Line 1
Address Line 2
City
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
Dates Of Attendance
GPA
Highschool Name
Address
Address Line 1
Address Line 2
City
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
Dates Of Attendance
GPA
List other Educational Experience:
Attach an official transcript from the most recent high school attended.
Click or drag a file to this area to upload.
If your transcript does not reflect your true academic abilities, please explain:
ACT/SAT Details
Composite ACT Score
SAT Score (if taken)
Attach official SAT/ACT Scores
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Next
Educational Goals
Name of the university, college or higher education institution(s) you plan to attend:
Check to add another college of university
1 more
2 more
3 more
Name of the university, college or higher education institution(s) you plan to attend:
Name of the university, college or higher education institution(s) you plan to attend:
Name of the university, college or higher education institution(s) you plan to attend:
List possible major or career interest:
Next
Other Activities
Describe your past extracurricular activities such as church, theaters, clubs, sports, and student government:
Work Experience
Company
Position
Dates of Employment (M/Y):
Company
Position
Dates of Employment (M/Y):
Honors or Awards:
Next
Financial Needs
Have you completed the Free Application for Federal Student Aid (FAFSA)?
Yes
No
Are you and your parents or guardians willing to attend a FAFSA workshop? (Yes/No)
Yes
No
What is your total anticipated financial need for this coming academic year? ($1,000, $5,000, $10,000, other)
What other financial resources do you have to help you afford college? Be specific (Jobs, Relatives, Friends, Scholarships, Loans, other)
Next
Essay
In an essay, describe yourself, your educational goals and how someone has influenced your life. Limit 1,000 words.
ACCEPTANCE OF TERMS AND CONDITIONS:
In applying for this scholarship, I acknowledge that the statements made in this application are true and complete. False information may disqualify me from receiving any financial aid. I understand that the scholarship award will be disbursed directly to the approved institution of higher education in which I am enrolled. Completion and submission of this application does not guarantee that any aid will be granted. My essay may be reproduced if credit is given to me. I agree to allow my name to be publicized as a recipient of the scholarship.
Signature
Clear Signature
Date
Include signature of parent or guardian if applicant is younger than 18 years old:
Signature
Clear Signature
Date
Submit