ETD ASL SCHOLARSHIP

1

Name of applicant?* This field is required.

First Name

Last Name

2

Age?* This field is required.

3

Phone Number?* This field is required.

Area Code

Phone Number

4

Can you text AND call?* This field is required.

YESNO

5

Email?* This field is required.

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

6

Grade?* This field is required.

7

Please briefly describe your financial need for a scholarship?

8

Why do you want to be part of Enlightening The Dark American Sign Language Program?

9

What sparked interest in ASL for you?

10

Are you?* This field is required.Select all that apply

Hearing

Deaf

Hard-of-hearing

Related to a Deaf/Hard-of-hearing individual

11

Do you have any previous experience with ASL?* This field is required.

YESNO

13

Explain "other"

14

Did you previously attend* This field is required.

Hearing school

Deaf school

Homeschooled

Other

15

How was your experience at these school(s)?* This field is required.

16

Tell us about your family* This field is required.

17

What experiences brought you here?* This field is required.

18

Anything you think we should know?

19

How did you hear about our ASL program?* This field is required.