Pearl M. Hill Memorial Scholarship Application Candidate's Name* First Last Candidate's Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Candidate's Email Address* Candidate's Phone Number*Candidate's UB Status:* minimum of one (1) year of participation Current Upward Bound Student Former Upward Bound Student Institution Name:*Please identify the UB project's host institution. UB Program Name*Upward BoundUpward Bound Math - ScienceVeteran's Upward BoundDates of UB Participation:*List the dates the nominee participated in Upward Bound. Candidate's Post-Secondary Status:* Will be enrolled by Fall 2025 Currently enrolled at a post-secondary institution Not enrolled at a post-secondary institution, nominee is a high school junior Which post-secondary institution will the candidate be enrolled at by fall 2022?* What will the candidate's academic major be in the fall of 2022?* Which post-secondary institution is the candidate currently enrolled? What is the candidate's academic major? Name of Nominator* First Last Nominator's Phone Number*Nominator's Email Address* Project Director's Name* First Last Project Director's Phone*Project Director's Email Address* Candidate's Personal Statement*Not to exceed two pages. Should address UB participation, career/education goals, evidence of leadership skills, and financial need.Accepted file types: pdf, Max. file size: 49 MB.Candidate's Academic Transcripts*Please upload current academic transcripts.Accepted file types: pdf, Max. file size: 49 MB.Letter of Recommendation by the Nominator:*Accepted file types: pdf, Max. file size: 49 MB.SignatureBy 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 not the project director, please tell us your working title: Δ
