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Scholarship Application Form

Applicants to the Solomon Scholars Program must complete the questions below and submit them as a word or pdf attachment along with their emailed application.

 

Background Information

 

Student’s legal name in full (Last Name, First Name): _________________________________

 

Parents’ legal names in full (Last Name, First Name): _________________________________

 

Permanent address (including city, state and zip code): ______________________________

________________________________________________________________________________

 

Year of high school graduation: ____________

 

Student’s date of birth: ____________________

 

Name of high school and city/state: ________________________________________________

 

Parent’s telephone number: ________________________________

 

Student’s E-mail address: __________________________________

 

Parent’s E-mail address: ___________________________________

 

 

 

 

Academic Information

 

Current cumulative high school GPA:  ___________ on a scale of ____________

 

Current ACT or SAT 1 score (only applicable if you have taken the test): ________________

 

Current Pre-ACT or PSAT score (only applicable if you have taken the test):     _______________

 

Current AP Subject Test scores (only applicable if you have taken the test(s)): _______________

______________________________________________________________________________

 

Intended major in college:       _______________________________

 

Intended career after college: _______________________________