Scholarship Application First NameMiddleLast LastAddressCityStateZipTelephoneE-mail Address Date of Birth Month Day Year Parent/Guardian (For High School Seniors) First NameLast NameTelephoneAcademic DataHigh SchoolDate of Graduation Month Day Year GPA - High SchoolTrade/Technical SchoolYear - Trade/TechnicalGPA - Trade/TechnicalCollege/UniversityYear - College/UniversityGPA - College/UniversityHonors and Awards (describe activity and include dates)Community Service (describe activity and include dates)Leadership and Extracurricular Activities (describe activity and include dates)EssayWrite a short essay (1-2 type-written pages, double spaced) that describes the applicant's educational initiative or public service effort to promote eye, organ and tissue donation (must be inclusive). Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 768 MB. Supported formats (jpg, gif, png, pdf, doc, docx)Reference LettersUpload Two Reference Letters Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 768 MB. Supported formats (jpg, gif, png, pdf, doc, docx)School TranscriptProvide a current, official transcript from your high school, college, university, trade/technical school. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 768 MB. Supported formats (jpg, gif, png, pdf, doc, docx)Acceptance LetterHigh school seniors, please upload the acceptance letter from the college, university, trade/technical school you plan to attend. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 768 MB. Supported formats (jpg, gif, png, pdf, doc, docx)Additional DocumentsPlease upload your essay and any photos, graphics and additional documents that support your Scholarship project.(Required) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 768 MB. Supported formats (jpg, gif, png, pdf, doc, docx)If you have questions about completing the above application, please email cshank@ebsr.org for assistance.