Apply – John McLendon Foundation

Application Form

Fields marked with an * are required

First Name *

Last Name *

Address Line 1 *

Address Line 2

Zip *

Country *

Phone *

Email *

Minority Status *

Black
Hispanic
Asian or Pacific Islander
American Indian or Alaskan Native

Undergraduate Information

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Institution *

Degree Program (i.e. BA, BS, etc.) *

Actual/Expected Graduation Date *

Major *

Cumulative grade point average/scale (i.e. 3.2/4.0) *

Postgraduate Plans (pursue graduate school immediately, seek employment, etc.) *

To what postgraduate program(s) has the candidate applied and/or been accepted? *

What is the intended postgraduate major?

Graduate Information (if already enrolled)

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Institution

Degree Program

Expected Graduation Date

Additional Information

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Scholastic honors earned (Be specific - indicate what the award was for and who it was from) *

Other activities (i.e. participation in extracurricular activities, including any positions of leadership, etc.) *

Other activities (i.e. participation in extracurricular activities, including any positions of leadership, etc.) Copy *

List any other information which may assist the selection committee in their evaluation, including information surrounding unique circumstances or mitigating factors *