Worksheet

Harold L. Silas Scholarship Application 2023

Please complete the application below.

*ALL FIELDS ARE REQUIRED

1.

Full Name*

First LastName

2.

Date of Birth*

MM/DD/YYYY

3.

Email*

4.

Phone Number*

###-##-####

5.

Home Address*

Street Address
Address Line 2
City
State
Zip Code
Country

6.

Name of High School, College or University*

7.

500-Word Essay in response to this question:*

College Diversity, Equity, and Inclusion initiatives are under political attack in Florida. Do you believe these initiatives are essential for all students, especially students of color as they advance their education? Why or why not?

(skip this box if uploading your document below.)

8.

OR Upload 500-Word Essay in response to this question:*

College Diversity, Equity, and Inclusion initiatives are under political attack in Florida. Do you believe these initiatives are essential for all students, especially students of color as they advance their education? Why or why not?

(.doc, .docx, .odt, .pdf files accepted)

9.

Upload proof of acceptance and enrollment to a college.*

10.

Upload 2022 high school Cap & Gown photo for incoming college/university freshmen*

11.

Upload Professional Headshot for currently enrolled college/university sophomore, junior, senior*

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