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Dr. Richard Barnett Foundation Scholars Nomination Form
We are seeking 9th grade students who are determined to achieve their goals and reach their dreams.

Please nominate a rising 9th grader -- or yourself! -- to participate in the program beginning in January 2023.

Application Process:
Step 1: Submit your form.

Step 2: Once you submit your form, we will reach out within 48 hours to confirm receipt of the form.

Step 3:  We will email the nominee to schedule an interview and request grades and 1 recommendation letter.

Step 4: 30-minute video interview.

Step 5: Notifications of admissions status will be sent via email on a rolling basis.



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Name *
First and last name
Email *
School Name *
Grade *
How do you know this student? (Write "Self" if you're nominating yourself.) *
What is you or your nominees dream? What are you or your nominee actively doing to work towards realizing that dream? (150 words maximum) *
The DRBFS Program is an intensive, 5-year program that requires a high level of commitment from its students. Please provide one example of how you or your nominee has demonstrated persistence in the past. (150 words maximum) *
We seek to foster a strong community of scholars over the course of our 5-year program. What is one way in which you see you or your nominee becoming a valuable part of this community? (150 words maximum) *
Please use this space to highlight any special attributes about you or your nominee. How do you or your nominee use those attributes to make the world a better place? Why do you feel you or your nominee are a perfect candidate for this tremendous opportunity? (150 words maximum)
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