Alphanso Scholarship Application

Applicant Full Name *

Date of Birth *

Phone *

Email Address

Gender *MaleFemaleI prefer not to answer

PID # *Identification number assigned to Scholarship Correspondent

Parent / Guardian Full Name *

Parent Phone *

Parent Email Address

Please describe intent of use if awarded an Alphonso Scholarship. Be specific. *0 / 500

Financial Need Document *

Academic Rigor Document *

Intended Secondary School Registration *

Throughout the fiscal year, awardees may be highlighted in efforts to promote Alphonso Scholarship Fund, Inc. activities and achievements. For example, awardees may be featured in materials to train relevant personnel and/or increase public awareness of the organization through newspapers, radio, TV, the web, DVDs, displays, brochures, and other types of media. *I DO consent to the release of mediaI DO NOT consent to the release of media

Please, upload any media you would like to accompany your application (i.e., pictures, quotes, essays, etc.)

Acknowledgement *I understand that the completion of this application does not guarantee the award of an Alphonso Scholarship.I hereby confirm that all the information submitted in the application is accurate to the best of my abilities.