Your Name (First and Last)

Date of Birth MM/DD/YY

Phone Number

Email

GPA - You can use your high school GPA if this is your first time attending college

Explain why you think you should receive this scholarship. (3-5 sentences)

What do you want to do after college? (3-5 sentences)

Are you affiliated with Yukon Delta (Alakanuk, Emmonak, Grayling, Kotlik, Mountain Village, Nunam Iqua)? Are you affiliated with Yukon Delta (Alakanuk, Emmonak, Grayling, Kotlik, Mountain Village, Nunam Iqua)? Yes No

Have you completed your FAFSA? Have you completed your FAFSA? Yes No