SCHOLARSHIP APPILCATION FORM

ELIGIBILITY

Applicants should:

Demonstrate academic commitment and a desire to continue their education.
Demonstrate resilience and the ability to persevere through challenges.
Show responsibility, integrity, and dependability.
Demonstrate respect and compassion toward others.
Contribute positively to their school, family, workplace, or community.
Have meaningful educational and/or career goals for the future.

Financial circumstances and academic achievement may be considered as part of the overall application.

First name

Last name

Address

Phone

Date of birth

Month

Day

Year

If other was selected, what field of study will you look to pursue?

RESILIENCE: Doug believed in overcoming life's challenges. Describe a significant setback you faced, how you responded, what you learned, and how the experience shaped who you are today.

INCLUSION & COMPASSION:Doug believed no one should stand alone and always made others feel included. Describe a time you helped someone feel accepted or valued. What did you do, and what did you learn?

CHARACTER & TRUST: Doug was someone people trusted and felt comfortable around. What does trustworthiness mean to you? Describe a time you demonstrated integrity, honesty, or responsibility, even when it was difficult.

YOUR FUTURE: Doug had a vision for his future and worked hard while balancing life's responsibilities. What are your educational and career goals, what motivates you, and how are you working toward them?

CURIOSITY & THIRST FOR KNOWLEDGE: Doug had a thirst for knowledge and enjoyed understanding how things worked and why people thought differently. What sparks your curiosity, and how has exploring it influenced your desire to learn?

YOUR IMPACT ON OTHERS: Doug believed life was about more than personal success and valued the people around him. How do you hope others will remember you, what values will define you, and what positive impact do you hope to leave?

I declare that the info I’ve provided is accurate and complete.

RESILIENCY RISING

SCHOLARSHIP FOUNDATION

SCHOLARSHIP APPILCATION FORM

ELIGIBILITY