Mal Duncan “4 for 40” Scholarship Application
If you desire to apply please fill out the form below and hit submit once you have finished. .

 

First Name
Middle Name
Last Name
e-Mail

Phone/Cell #
Address
Parents/ Guardians

Address
Phone/ Cell #
High School
Graduation Date





ELIGIBILITY CRITERIA:
- Maintain a 2.75 or higher cumulative grade point average
-  Good leadership qualities
-  Admitted to a 4 year college/university in an accredited natural science or mathematics program
- African-American Waterloo/ Cedar Falls high school senior

Please Note:

After Clicking "Submit" to send the application, the next page will allow you to upload the following information.

All applications must include an official copy of your high school transcripts. If a transcript is not provided, the application will automatically be disqualified.

Be certain that all items on the application are completed. Incomplete applications will also be disqualified. Applications (with essay and transcripts) must be completed by midnight March 31, 2018.


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Academic Achievements (i.e. AP Class, Honor Society, Clubs).


Awards and Honors




Extracurricular Activities/Work Experience



Educational Goals (be specific)


Name and Address of the School you would be attending.