RBG 2019 Scholarship Application
The RBG Foundation is a 501c3, non-profit. Our mission is to create scholarship opportunities for young girls of color looking to have an enriching summer experience while emphasizing the importance of Career Readiness, Empowerment and Career Exploration.

Scholarship Eligibility:
1. Currently enrolled in a pk-12 school
2. Plan to attend a summer enrichment program
3. Lives in the United States
4. Identifies as a young girl of color

I affirm that I plan to attend a 2019 summer enrichment program. I give permission to officials of my institution to release transcripts of my academic record and other information that might be requested for consideration.

I understand that this scholarship will be available only to qualified students who earn it in the course of their duties. If selected as a RBG Foundation Scholar, I agree to the following:

1. a picture of myself participating during the summer program
2. a short essay (less than 300 words) explaining what you learned and did over the summer.

Note: Parents of elementary and middle school children are able to fill this out for their child.

Email address *
To apply, we must receive materials to therbgfoundation@gmail.com or by completing this form by May 19, 2019.
Background information
Student's First and Last Name: *
Full address including city, state, and zip code *
Parent/Legal Guardian Full Name *
Parent/Guardian Best Contact Phone Number *
Parent/Guardian Email. If not different from above, write N/A. *
Name of current school *
Current school's address *
Student Achievements
List all extracurricular activities (student government, sports, publications, school-sponsored community service programs, student-faculty committees, arts, music, etc.). *
List public service and community activities (homeless services, environmental protection, conservation, advocacy activities, work with religious organizations, etc.). *
List awards, scholarships, publications or special recognitions you have received, Include the name of the award and when it was awarded. *
Leadership Qualities
Describe one specific example of your leadership in the past 6 months. *
The Summer Program
What are the names of the summer programs you are interested in participating in? *
Provide the links to various summer programs. *
How attending one of the summer 2019 program benefit you/your child long-term and short-term? *
Required Documents
A copy of the most recent report card or progress report *
I Affirm
Check the following boxes to officially submit your application. *
By entering your initials in the box below, you are effectively providing your signature, indicating that all information on this form is true and accurate, to the best of your knowledge. *
The RBG Foundation
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