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Virgin Islands, U.S.
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Phone
*
Email Address
*
Student/University ID Number
Parent/Guardian Name
Parent/Guardian Phone Number
*
Alternate Phone Number
*
What is this person's relation to you?
Country
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Australia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cabo Verde
Cayman Islands
Central African Republic
Chad
Chile
China, People's Republic of
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French South Territories
Gabon
Gambia
Georgia
Germany
Guernsey
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island And Mcdonald Island
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Johnston Island
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
Saint Helena
Saint Pierre & Miquelon
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and South Sandwich
Spain
Sri Lanka
Stateless Persons
Sudan
Sudan, South
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan, Republic of China
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
US Minor Outlying Islands
United States of America (USA)
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis And Futuna Islands
Western Sahara
Yemen Arab Rep.
Yemen Democratic
Zambia
Zimbabwe
Major Subject(s)
*
Minor Subject(s)
*
Cumulative GPA
Expected Date of Graduation
*
Class status as of March 2024
First Year Student
Second Year Student
Third Year Student
Fourth Year Student
Does anyone living at your home address (other than siblings) have a Bachelor’s degree or higher?
*
Yes/No
Yes
No
Full Name of Adult 1 who lives at your home address
Gender
Male
Female
What is this person's relationship to you?
What is the highest level of education of the adult listed above?
Non-High School Graduate
High School Graduate
Some College
Associate's Degree
Bachelor’s Degree
Others
What is the occupation of the adult listed above?
Who is the employer (company) of the adult listed above?
Number of siblings?
0 / 10
Name of sibling
Age
3
School/College
Grade Level
Has anyone in your family ever received a [Organization] scholarship?
Select
Yes
No
High School Name
*
High School City
*
High School State
You must be admitted to a university/ College no later than March 2024
Select
*
Have you been admitted?
Yes
No
If "yes," what is your university-assigned ID number?
Why did you choose this university?
*
What is your proposed major?
What is your proposed career choice?
Upload Transcript, Test Scores and Resume (must be in PDF)
*
Drag and Drop (or)
Choose Files
Please attach your high school transcript File name: Last Name.First Name.University.Transcript EX: Smith.John.NAU.Transcript Maximum File Size: 10MB (.pdf)
How many officer positions have you held in current academic institution?
0 positions
1 position
2 positions
3 positions
4 positions
5+ positions
Of these positions, have you ever held an executive position in your College such as
*
select
President
Vice President
Please indicate the number of campus activities, organizations, and/or athletics you are currently involved in
select
O activities
1 activity
2 activities
3 activities
4 activities
5+ activities
Of those, what is the number of campus activities, organizations and/or athletics in which you are currently an officer or varsity athlete?
0 positions
1 position
2 positions
3 positions
4+ positions
Are you the president of any of these organizations or the captain of a varsity athletic team?
Select
Yes
No
How many service hours did you complete during the past calendar year 12th DEC 2022?
Select
0-5 hours
6-10 hours
11-15 hours
16-20 hours
21-25 hours
26-30 hours
31-35 hours
36-40 hours
41+ hours
Have you held a leadership role(s) within any of these community service organizations in the past year?
*
Select
Yes
No
If yes, please list them here
Work experience during school breaks. List the average number of hours worked per week
O hours
1-10 hours/week
11-20 hours/week
21-30 hours/week
31-40 hours/week
41+ hours/week
Work experience during school year. List the average number of hours worked per week.
O hours
1-10 hours/week
11-20 hours/week
21-30 hours/week
31-40 hours/week
41+ hours/week
Essay 1: Adversity is something we all face in one form or another. Define a specific struggle that you've experienced and write about it. How did your personal values affect the way you handled the situation? What did you learn during the experience, and how did it change or shape you? Limit your essay to 800 words. Essays will be evaluated on content and how it relates to the prompt, grammar, spelling, and overall writing skills. Be certain you have carefully proofread your essay prior to submitting
*
Essay 2: What goals (professional, personal, and philanthropic) do you have for your future career? What specific traits do you possess that will enhance and help you achieve those goals? Limit your essay to 800 words. Essays will be evaluated on content and how it relates to the prompt, grammar, spelling, and overall writing skills. Be certain you have carefully proofread your essay prior to submitting
*
Sometimes we must choose between what is right, and what is best for ourselves. Discuss a time when you faced such a choice, and what you did. (250 words)
*
If you are selected by the committee and receive the scholarship, what will you contribute to the program's community of [Organization] Scholars? (250 words)
Describe a time when you had a class or project that you did not like-what helped you complete the class or task? (250 words)
*
By typing my name in the box below I authorize the high school and my chosen university to release academic, financial and/or other necessary information as required by the donor and The Achol Philip Foundation to process my application of the scholarship should I receive this award
*
How did you hear about the The Achol Philip foundation Scholarship? Please select all that apply.
College fair
Email from The Achol Philip Foundation Scholarship office
Flyer posted at your high school/ University/ College
Parent or family member
Scholarship website
Current/Past scholarship recipient
Other
When Finished Click here
