2022 Scholarship Application Form

To Apply: Complete the 2022 Scholarship Application Form electronically and submit it along with all accompanying documents to scholarships@nfbmi.org. All documents should be submitted in an accessible format (.Doc, .docx, .pdf, .rtf).

For Questions, Contact the scholarship chairperson, Sabrina Simmons, via email at scholarships@nfbmi.org.

Important: All documentation must be received on or before October 1, 2022.

PART A: DEMOGRAPHIC Information

First Name *

Last Name *

Street AddressHome Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

How did you hear about this scholarship program? *

PART B: HIGH SCHOOL Information

Please fill out this section if you have completed less than 20 credit hours of post-secondary education. If this section does not apply to you, please answer “N/A” or “Not Applicable” to these questions.

Name and address of high school attended

Cumulative Grade Point Average

PART C: COLLEGE Information

Name and address of school you will be attending in the Spring 2022 academic term *

Class Standing (e.g. freshman, sophomore) *

Cumulative Grade Point Average *

Field of Study (major/minor) *

Other postsecondary institutions attended along with cumulative Grade Point Averages *

Expected graduation date *

Month

Day

Year

Vocational goal – Describe what you hope to do upon graduation from college *

PART D: Essay (800 words or less)

Essay *

The National Federation of the Blind of Michigan awards scholarships based on academic excellence, community service, and leadership potential. As you prepare your essay, keep in mind that this is your biggest opportunity to demonstrate your best qualities to the scholarship committee. The essay is all about you and your story. What sets you apart from other applicants? Tell us about your leadership qualities, community service, and your attitudes on blindness. Be sure to proofread your essay, and better yet, have someone else proofread it as well.

PART E: CERTIFICATION STATEMENT.

By entering my full name and date below, I confirm that all of the information provided in this scholarship application is true and correct to the best of my knowledge.

Signature Name *

Signature Date *

Month

Day

Year

Uploaded Documents

Letter of Recommendation *