Scholarship Application Step 1 of 9 11% Only applications received from January 15 to April 15 will be accepted. Applications received outside of this period will not be reviewed.Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Current Contact Phone(Required)Email(Required) High School Name(Required) Guidance Counselor(Required) City(Required) State(Required) High School GPA (Unweighted)(Required)For Example 3.7 out of 4.0 High School GPA (weighted, if available)(Required) // An UNOFFICIAL coopy of your transcript must be sent with the application. The student selection committee will request an official copy if you are selected as wa scholarship finalist. // ACHIEVEMENT: TEST SCORES AND CURRICULUMSAT: (MATH/800) SAT: (Verbal/Reading/800) SAT: (Written/800) SAT: (Total/Composite/2400) Date Taken MM slash DD slash YYYY ACT: (MATH/36) ACT: (Science/36) ACT: (Verbal/Reading/36) ACT: (Written/36) ACT: (Total/Composite/36) AP/Honor's CoursesCommunity Service/ExtracurricularSpecial Recognition/Honors/AwardsTell us about achievements that may distinguish you from most high school seniors.Community Service/Extracurricular PARENT/GUARDIAN CONTACT INFORMATIONGuardian Name(s)(Required) Relationship(Required) Email(Required) Address(Required)Please include Street Address, City, State, Zip Code. Occupation(Required) Parent(s) annual approximate gross income(Required) Other than applicant, number of siblings in college(Required) Number of siblings in high, middle, or elementary school(Required) COLLEGE CHOICES: Forward College letter(s) of acceptance/financial award with this application for selected college, if available.College/University Accepted to(Required) Intended Field of Study(Required) Cost of School /yr(Required) Amount of Financial Aid Received /yr(Required) Are you and a parent/guardian/adult chaperone available to attend to the Foundation's Annual Fall Recognition event?1. Student Availability/Willingness to Travel to the Fall Recongition Event in October/November? Yes No 2. Parent - Availability/Willingness to Travel to the Fall Recongition Event in October/November? Yes No ESSAY PORTION (500 words or less)1. Please provide a brief biography. Please include any situations of hardship or adversity that you have experienced in your life including any triumphs.(Required)2. Tell us why you should be selected as a LEAD Scholarship foundation winner.(Required) By entering your name and initials, you electronically authorize the validity and use of the information you have provided in the ablove doucment for purposes of reviewing and/or awarding by the LEAD Scholarship Foundation.Name:(Required) Initials(Required) Date(Required) MM slash DD slash YYYY Scholarship Criteria/Application Submission Requirement Checklist(Required) Applicants have to be legal residents of the continental United States. The LSF, Inc. Scholarship is open to African-American high school seniors with a demonstrated and proven financial need who plan to attend an accredited college or university, have a grade point average of B (3.0) or better Whose academic records give evidence of scholarly achievement. Proof of enrollment in an accredited 2- or 4-year college or university. Please forward a copy of the admission and financial award letters sent by the school. Financial aid form (ex. FAFSA) and the Financial Student Aid Report should also be sent. (These documents may be requested to verify financial need prior to scholarship recipients being announced/awarded.) An unofficial copy of your transcript must be sent with the app. The student selection committee will request an official copy (school seal or authorized signature on transcript in a sealed envelope) if you are selected as a scholarship finalist. REQUIRED: Two typed, 500-word or less essays encompassing the topics listed in this application must be completed. (Note: Spelling, punctuation, and grammar are important.) The essay should include all extenuating circumstances that should be considered by the scholarship committee in assessing financial need. Failure to complete both essays will result in the application not being considered. Include any other supporting information if available. Ex. Résumé, etc. (While not required, these documents could assist the Student Selection Committee in the determination of scholarship winners). Final candidate selection may require a phone interview with the Student Selection committee. Children of Merck Employees are not eligible for this scholarship. File Upload #1Max. file size: 128 MB.File Upload #2Max. file size: 128 MB.File Upload #3Max. file size: 128 MB.File Upload #4Max. file size: 128 MB.File Upload #5Max. file size: 128 MB.
