Douvas Memorial Scholarship Application
Wyoming Scholarship established by Peter George Douvas
Student Applicant Information
Student Name:
*
First Name
Last Name
Student Home Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthday
*
-
Month
-
Day
Year
Date
Student Email:
*
example@example.com
Student Phone Number:
*
-
Area Code
Phone Number
Are you a Wyoming Resident?
Yes
No
Are you U.S. citizen or permanent resident:
*
Yes
No
High School Information
Which Wyoming college do you plan to attend this fall (2023)?
*
University of Wyoming
Casper College
Central Wyoming Community College
Eastern Wyoming College
Laramie County Community College
Northern Wyoming Community College (Gillette Campus or Sheridan Campus)
Northwest College
Western Wyoming Community College
What do you want to study in college?
*
Are you between the ages of 18 and 22?
*
Yes
No
High School Name:
*
Date Expected to Graduate:
*
.
Month
.
Day
Year
Date
High School GPA:
*
Most Current GPA or Official
ACT Score:
*
Superscore accepted
School Counselor Name:
*
First Name
Last Name
School Counselor Email:
*
example@example.com
School Principal Name:
*
First Name
Last Name
School Principal Email:
*
example@example.com
Back
Next
Question & Answer
Answer each question to the best of your ability. Include complete sentences, punctuation, and detailed responses. Students are selected on motivation to attend college and financial need.
Tell us about yourself.
*
What are your academic and your career goals?
*
Describe your motivation to attend college.
*
Do you have a job? If so, describe why, how long, and what you use your money for.
How do you plan to pay for college?
*
Why should you be selected for the 2024 Douvas Memorial Scholarship?
*
Share anything you want to share with our selection panel that was not covered in questioning.
Date Signed by Applicant
*
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AM/PM Option
Submit
Should be Empty: