Earl and Kathy Hoaglund Sacred Manoomin Fund Native American Scholarship Application

Native American Scholarship Application

Eligibility
- By checking this box, I confirm that I am of Native American descent and I am eligible for this scholarship.
Personal Contact Information
Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Age*
Gender*
- Male
- Female
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Education Information
I graduated from high school (received my GED) on:*
Date Format: MM slash DD slash YYYY
Name of High School:*
I am enrolled in an accredited institution of high learning:*
- Yes
- No
Statement of Scholarship Need
Name of conference/workshop/program you are requesting funding for:*
Amount of funding you are requesting:*
Date of Event*
Date Format: MM slash DD slash YYYY
In 3 or 4 sentences please explain how attending this educational activity will help you protect manoomin, nibi and the environment.*
If you receive funding to attend this activity, you will be asked to write a brief 2-3 page narrative of your experience, your learning and how you might use this learning to protect the manoomin. Do you agree to take responsibility for completing this assignment and returning it to the fund?*
Reference
Name*
First Last
Phone*
Email*
Relation to You*
Phone
This field is for validation purposes and should be left unchanged.

Personal Contact Information