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Please Use The Below Options To Complete & Submit Your Application

The Academy Admissions Application Form

I. Contact Information

Name

First Name

Last Name

Current Grade Level:

Select

Male

Female

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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Personal Conditions

(Please check all that apply to you)

Low-income household

Parents unemployed

First in your family to attend college

Number of persons in your household (including yourself)

Total household income (in USS)

II. School Information

Please provide information about your School, including an administrative phone number and/or e-mail address:

Name of School Attended

Current Grade Level

School Email

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School Admissions Contact Number

(###)

###

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III. Student Information

Current GPA

Current GPA or Yearly Average (for elementary school students)

Please provide information about the College you wish or hope to attend:

Name of University/College-

Tentative Enrollment Date

Program of Interest

IV. Eligibility Requirements

A scholarship, in the amount of $ 5,030 is meant to cover the tuition rates required to attend Vanguard STEM Academy (VSA). The aim of Vanguard STEM Academy (VSA) Scholarship Program is to allow motivated and successful students, who lack the needed financial resources, the opportunities to unimaginable heights and possibilities. In order to be eligible for a scholarship, a student must meet both financial and merit requirements, as established below, and must be a resident of the United States at the time of the application

Income Requirements Total household income must not exceed $ 38,000 per year. Merit Requirements Must be currently enrolled in Grades 3-11 and incoming seniors(12th graders)

IMPORTANT: Attach copies of the following documents to this application

1. A document certifying current enrollment in school. 2. A document certifying current scores. 3. A document certifying total household income

Please make sure to meet both Income and Merit requirements before submitting your application and attach the required documentation. Applicants who do not meet the eligibility requirements and/or fail to submit the required documentation will not be considered.

V. Scholarship Regulations

Students funded by scholarships are expected to take active and full part in the school program for the year being covered and satisfy the established merit/income requirements throughout the year. If a student fails to: (I) provide the requested documentation (ii) take part in at least 80% of the classes in each semester (iii) maintain the minimum merit and/or income requirements throughout each semester, Vanguard Stem Academy (VSA) reserves the right to revoke funding and dismiss the student. Vanguard Stem Academy (VSA) reserves the right to award scholarships to the most deserving students, based on the above-mentioned requirements. Selections are made at VSA’s sole discretion, and decisions regarding scholarship recipients are final. Scholarships are assigned for a period of two consecutive semesters and will not automatically renew for successive terms. Students seeking financial support for another year will need to submit a new application. Vanguard STEM Academy (VSA) reserves the right to award scholarships on acontinuous basis, upon the availability of funds.

VI. Statement of Needs and Goals

Please write a one-page essay explaining your reasons for submitting this application and include the following topics in your discussion: 1. The personal circumstances related to your need for financial aid to attend Vanguard STEM Academy 2. Your academic and career goals 3. Your role and involvement in community activities(if any) Please discuss each topic in a separate paragraph.

VII. Important Notice

Do you affirm that the above application has been completed voluntarily and the information provided and any additional documents submitted are accurate and true to the best of my knowledge. I agree to be contacted by the Vanguard STEM Academy to provide further information about my application if needed. I also hereby authorize VSA to contact the institution I attend/attended to verify or request any information necessary to aid in the determination of my scholarship eligibility. I give VSA the permission to provide, at the donors’ request, any official or unofficial documents to demonstrate my academic progress and status. I also understand that if I provide any false information, VSA reserves the right to pursue disciplinary and revoke my scholarship, if already awarded.

I AGREE TO THE ABOVE STIPULATIONS

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