Please enable JavaScript in your browser to complete this form.Personal DetailsApplication Date *Student ID *Applicant's Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Cumulative Grade Point Average (GPA) *Student Classification in Fall of 2023 *FreshmanSophomoreJuniorSeniorField of Study *Major *I will be taking at least 12 credit hours per semester for the 2023-2024 academic year. *YesNoAre you a first generation college student? *YesNoList recent college honors and awards received. *List scholarships, loans, parental, or other financial aid received. *List career plans or goals. *Are you currently employed? *YesNoIf employed, where? *Hours you work each week. *Ethnic background. *Church/Religious Affiliation. *Personal Statement *Please provide a personal statement which includes a brief summary of your personal history. Tell us who you are, where you came from, and what your dreams, goals, and aspirations are.College/University Activities *Please share what college/university activities you have participated in, are currently involved in, or plan to engage in.Activities Outside of College/University Life *Please share the activities outside of college/university life that interest you and in which you are involved (i.e. church, volunteerism, hobbies, etc.)One Page Narrative and Other Documentation * Click or drag a file to this area to upload. Please attach a single spaced, type written, one page narrative in a word document or pdf. Max. file size: 512 MB. Additional Documentation * Click or drag a file to this area to upload. Please attach all other documents pertinent to this application (i.e. certifications, references, etc.) in a SINGLE word or pdf document. Max. file size: 512 MB. Permission to share narrative with benefactor(s) if you are a scholarship recipient. *YesNoConsent *I agree to the privacy policyUnder the provisions of the Family Education Rights and Privacy Act of 1974, students have the right to allow or deny LEO Foundation to disclose student education records, either academic or financial. By signing this authorization, you are requesting LEO Foundation to disclose personally identifiable information relating to your education record to a specific third party. Third party requests without authorization will not be fulfilled.Name Authorization *FirstLastBy typing my name above, I certify that the information provided is current to the best of my knowledge. I authorize my college/university to release my academic and/or financial information to LEO Foundation for consideration of scholarship funding.SubmitSave and Continue Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link
