Dr. Gabriel Gallardo Memorial Scholarship Application – Northwest Association of Educational Opportunity Programs

Candidate's Name*
First Last
Candidate's Address*
Street Address Address Line 2 City State ZIP Code
Candidate's Email*
Candidate's Phone Number*
TRIO program(s) candidate participated in?*
To add more than one program, click on the "plus" symbol.
TRIO Program College/University Start & End Dates Project Director

Project Letter of Recommendation*
This is the one-page typed letter of recommendation from the nominating TRIO project summarizing the background and accomplishment in bio format.
Candidate's Personal Statement*
The nominee's personal statement should provide sufficient information for the scholarship committee to conduct a meaningful evaluation of candidate's qualifications which include the following:
- How participating in a TRIO project has impacted their educational goals
- How they have developed their talents, discovered their own voice and personal potential in their pursuit of a graduate degree.
Signature
By completing the information below, you certify that you are the person submitting this scholarship application and that the information is true and correct. Completing and submitting this section also serves as the submitting authority's signature.
Name of Person Submitting Scholarship*
First Last
Title of Person Submitting Scholarship*
- Project Director
- Scholarship Nominator
- All of the above
If you are only the nominator, please tell us your working title:

TRIO Program	College/University	Start & End Dates	Project Director

Name of TRIO Program	Host Institution

Signature