Name *

E-mail (personal not school) *

Phone Number *

High School *

GPA *

What is your gender identity? *

What is your sexual orientation? *

The Daniel S. Hall Scholarship is to assist those who have intentions to further their academic career at a college or university after high school. What college or university do you plan on attending after graduation? *

Have you already been accepted to this college or university? *

What is your intended major/area of study? *