• IAC College Scholarship Application Form

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  • Date of Birth*
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    2 digit month, 2 digit day, 4 digit year
  • Are you an African-American high school senior*

  • Educational Information

  • Graduate Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • SAT

  • ACT

  • COLLEGE GOALS

  • Family Information

  • Are you the first person in your family to go to college?*

  • PERSONAL STATEMENT

  • Personal Statement

    Upload a Personal Statement (maximum 750 words, [2-3 typed pages], double spaced, Times New Roman, 12pt font), which must include a response to one of the below prompts. Please type the prompt at the top of the document.

    1. Describe the world you come from — for example, your family, community or school — and tell us how your world has shaped your dreams and aspirations.

    2. Describe an experience that either demonstrates your character or helped to shape it.

    3. Tell us about a personal quality, talent, accomplishment, contribution or experience that is important to you. What about this quality or accomplishment makes you proud and how does it relate to the person you are?

     

    Upload Your Personal Statement Now – Accepted file formats are .doc and .pdf (.docx is NOT accepted)

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  • Letters of Recommendation

  • Upload Your 2 Letters of Recommendation Now

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  • YOUR PHOTO

  • Photo – JPG. 25 MB Max.

    Upload a Photo of Yourself Now (can be any size) – Accepted file formats are .jpeg, .gif, and .png

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  • Financial Information

  • Are you a dependent of your Parents?
  • ANNUAL HOUSEHOLD INCOME

  • I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE. 

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  • Date Signed by Applicant
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    2 digit month, 2 digit day, 4 digit year
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