Scholarship Application Form SECTION 1: PERSONAL INFORMATION Full Name * First Name Last Name Email * Phone (###) ### #### Date of Birth * MM DD YYYY Country of Birth * Social Security Number * Gender Select... Female Male Non-binary Transgender Intersex I prefer not to say Address Address 1 Address 2 City State/Province Zip/Postal Code Country Check Those That Apply * I am a U.S. Citizen I am a Permanent Resident I have a Passport with I551 How did you hear about NHFA's Scholarship? Select... Media (TV, Radio, Print) NHFA's Website School, Counselor, Teacher, Career Center Word of Mouth Online Search LinkedIn URL or Website SECTION 2: ACADEMIC INFORMATION Class Level this Fall Master's - 1st Year Master's - 2nd Year Doctorate - 1st Year Doctorate - 2nd Year Doctorate - 3rd Year Doctorate - 4th Year Where are you Enrolled? * Colombia Harvard Northwestern NYU UCLA USC UT Austin Yale Other Expected Graduation Date MM DD YYYY Previous or Current Master's Program Expected Degree MA/S JD Doctorate Degrees Already Earned AA/S BA/S MA/S JD Doctorate Desired Career or Field of Interest SECTION 3: FAMILY INFORMATION Age of Oldest Parent Both Parents Deceased? Yes No Parents' Marital Status * Married Remarried Single Divorced Separated Widowed N/A Your Marital Status * Married Remarried Single Divorced Separated Widowed N/A Number of Parents' Dependents in College Include yourself if you are their dependent Number of your Dependents in College Include yourself Will you be working during the Academic Year? Yes No If Yes, how many Hours? SECTION 4: COMMUNITY SERVICE & VOLUNTEERING Activity / Organization / Dates / Hours Please list maximum of 3. Don't abbreviate organization names SECTION 5: ESSAYS Each Short Essay should be no more than 275 words and the Long Essay should be no more than 900 words. Thank you! Email Additional Supporting Files HERE
