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My scholarship profile

First Name

Middle Name

Last Name

Email Address

Birthdate

Birthdate

Mailing Address

Mailing Address

Country

Street

City

Region

Postal Code

Are you Hispanic, Latino, or Spanish origin?

Are you Hispanic, Latino, or Spanish origin?

Yes

No

Please tell us the major you are currently planning to study:

Are you a 21st Century Scholar?

Are you a 21st Century Scholar?

Yes

No

**Qualification for this scholarship will be verified against data from the State of Indiana

Do you attend and actively participate at a Church of God (Anderson) church?

Do you attend and actively participate at a Church of God (Anderson) church?

Yes

No

Are you a First Generation student?

Are you a First Generation student?

Yes

No

Have you been an active participant in the Indiana Latino Institute (ILI)?

Have you been an active participant in the Indiana Latino Institute (ILI)?

Yes

No

Have you completed the 3SLI or SLI Program in the Church of God (Anderson)?

Have you completed the 3SLI or SLI Program in the Church of God (Anderson)?

Yes

No

Are you the child of a Church of God (Anderson) minister?

Are you the child of a Church of God (Anderson) minister?

Yes

No

Are you the child of a Missionary?

Are you the child of a Missionary?

Yes

No

Do you participate in Center for Leadership Development (CLD)?

Do you participate in Center for Leadership Development (CLD)?

Yes

No

Did your parent or guardian graduate from Anderson University?

Did your parent or guardian graduate from Anderson University?

Yes

No

What is their first and last name? (maiden name or the name used while attending Anderson)

What year did they graduate? (approximately if you're unsure)

Are you a member of Phi Theta Kappa Are you a member of Phi Theta Kappa (Phi Theta Kappa is the official honor society for two-year colleges like Ivy Tech)?

Are you a member of Phi Theta Kappa Are you a member of Phi Theta Kappa (Phi Theta Kappa is the official honor society for two-year colleges like Ivy Tech)?

Yes

No

Have you participated on a FIRST Robotics Competition or a FIRST Tech Challenge team?

Have you participated on a FIRST Robotics Competition or a FIRST Tech Challenge team?

Yes

No

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