Janell Ness Academic Scholarship

Step 1 of 2

Full Legal Name *

First

Middle

Last

Permanent Address *

Address Line 1

City

State

Zip Code

Are you a US Citizen *

Date of Birth *

Phone *

Email *

Current Status (High School Senior, College Freshman, etc.) *

High School Name *

High School Address *

Address Line 1

City

State

Zip Code

SAT or ACT Score *

Cumulative High School GPA *

College Name (Current or Upcoming) *

College Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cumulative College GPA *

College Student ID

Major *

Have you received an award from this scholarship before? *

Questions

Please respond to the following questions. Attach your typed responses to this form before you submit.

I you prefer, you may email or mail in all the attachments. All materials must be mailed in one packet. If you choose to email, it all must be in one email.

The Arc of Cass County
Higher Learning Scholarship
215 N University Drive
Fargo, ND 58102

701-293-8191
arcadmin@arccassnd.org

Please list your extracurricular activities from the last two years *

Indicate the dates you participated in the activities

List any significant awards or honors you have received during the last two years for academic or extracurricular achievements *

Essay *

Click or drag a file to this area to upload.

Why is it important for people with intellectual/developmental disabilities to be a part of their community? (Two-page maximum)

Transcript *

Click or drag a file to this area to upload.

Please submit an official transcript including your most current semester with your application materials.

College Acceptance Letter *

Click or drag a file to this area to upload.

Please submit a copy of an acceptance letter or current enrollment documentation.

Signature *

Clear Signature

In submitting this application, I believe all of the above information to be true and complete. I certify that I am not currently receiving full funding for my education. I authorize The Arc to obtain and review my academic records. By submitting this application, I authorize The Arc to use my name and photo if I am selected as a scholarship recipient. All Scholarship information will be kept strictly confidential.

Date *

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