Name of Applicant *

First Name

Last Name

Phone *

(###)

###

####

Are you currently a senior at a high school in Maryland? *

Yes

No (Unfortunately, you are not eligible for this scholarship opportunity)

Do you currently have an overall high school GPA of 3.0? *

Yes

No (Unfortunately, you are not eligible for this scholarship opportunity)

Will you be attending a college or university this upcoming fall? *

Yes

No (Unfortunately, you are not eligible for this scholarship opportunity)

Do you have aspirations of a career in Public Service? *

Yes

No (Unfortunately, you are not eligible for this scholarship opportunity)

Are you aware that you need to email or mail in the following items (Essay, Letter of Recommendation, and Official High School Transcript)? See Flyer for further details. *

Yes (Please email or mail in ASAP if you haven't already done so)

No (If we do not receive these items, you will not be eligible)