ADS Scholarship Application

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Name (First, Middle Initial & Last) *

Address *

Phone *

ADS Chapter *

Parent Name -- Father *

Parent Name -- Mother *

Name of College where this scholarship will be applied at *

Year in college (circle one) *

Freshman

Sophomore

Junior

Senior

Grade Point Average in High School *

College *

Community Involvement *

Awards Received *

Financial circumstances to be considered *

Has overcome a significant family, academic, or emotional hardship. (Include a brief paragraph description of the hardship) *

Provide Statement summarizing any activities with the American Druze Society (ADS) *

In no more than 300 words, tell us about yourself and the reason why you should be granted this scholarship *

Signature & Date *

Notes: *

Submit

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