Online Application Form

Student Scholar Application

We look forward to receiving your application! Please note that your progress will not be recorded until you have completed the entire online application and pressed “submit.” (For this reason, we recommend you scan the form below, including essay questions at end, before diving in!)

Personal and School Information

Applicant Address

Education

We are interested in what is most important to you - your passions, your accomplishments, your community contributions, your family.

Please do not leave categories blank. If not applicable, state why. Resumés are not accepted.

Students must submit proof of test scores by fax or email (e.g. a copy of the score report. An official copy from E.T.S. is not required.)

PSAT
SAT
ACT
AP/IB Classes
College/Community College Courses
Class Rank
School Activities

List school activities, in order of importance to you, to which you have demonstrated consistent commitment, including academics, arts, clubs, debates, music, publications, science, sports, student government or theater.

Extra-Curricular Activities

List any extra-curricular activities including arts, music, published writing, scientific research, summer coursework, sports, theater, etc. that you pursue outside of a school-sponsored program.

Community Service Activities

List community service activities for which you have volunteered (without pay), including hospital volunteer, religious work, drug/teen/homework hotline, or outreach programs.

Jobs or Internships

List jobs or internships held in the past three years.

Personal Information

(Voluntary, for administrative purposes only)

Family History

Parent/Guardian
Parent/Guardian

Written Responses

All three responses are required.

Short Answers

Please limit short answer responses to 300 words.

Essay

Please limit your essay to 600 words.

3. Imagine … a problem that is of significant importance to you. It could be a local issue, a national challenge or a global dilemma. Now imagine that you are a leader in a position to solve this problem.