The Douglas MacInnes ALS Scholarship
Thank you for your interest in receiving the 2017 Douglas MacInnes ALS Scholarship. We are seeking individuals who we believe embody the spirit and drive that Douglas maintained throughout his life. If you have been influenced by ALS and are planning to pursue higher education, we want to help ease the financial strain associated with college tuition! The scholarship award amount will be $1,000 minimum, but we are willing to offer a larger award to a candidate who embodies the Steps for Doug values.

To be considered please complete the form below by 11:59 PM, May 1st, 2017! We look forward to reviewing your application.

Basic Information *
First Name
Your answer
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Last Name
Your answer
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What is your email address?
Your answer
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What is your phone number?
Your answer
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In what year did you or will you graduation from high school?
Your answer
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What is your birthday? (mm/dd/yyyy)
Your answer
Basic Information *
What is your permanent address?
Your answer
Short Answer Question *
What extracurricular activities have you been/are you currently involved in? Please provide a list of organization and a sentences explaining the extent of your involvement.
Your answer
Short Answer Question *
What volunteer work have you been/are you currently involved in? Please list all organizations and include a sentence for each explaining the extent of your involvement.
Your answer
Short Answer Question *
Where do you plan to attend college for the duration of the scholarship?
Your answer
Short Answer Question *
What do you intend to pursue as your major for the duration of the scholarship?
Your answer
Short Answer Question *
After you complete your undergraduate degree, what do you plan to pursue as a career?
Your answer
Essay Question *
How has your life been influenced by ALS? (150 word maximum)
Your answer
Essay Question *
What are you passionate about? (200 word maximum)
Your answer
Essay Question *
If you had $100,000 to give, what would you do to benefit the ALS community? (200 word maximum)
Your answer
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