Michael P. Anderson Scholarship Application

“If you apply yourself, work hard to be persistent, and don’t give up, you can achieve anything you want to achieve.” — Michael P. Anderson

Full Name *

Date of Birth *

Month *

Day *

Year *

Applicant Address

Address 1 *

City

ZIP / Postal Code

State / Province

Country

Do the applicant's parent(s)/guardian(s) have the same address? *

Yes

Parent Name

Parent/Guardian Address

Address 1

City

ZIP / Postal Code

State / Province

Country

Parent Phone Number *

Cover Letter *

Outstanding Achievements

Please describe any earned awards, accomplishments, honors, outstanding achievements, or organizations of which you are a member.

Community Service

How have you engaged in serving your community?

In 500 words or fewer, please respond to the following prompt. *

Lt. Col. Anderson was quoted as saying, “If you apply yourself, work hard to be persistent, and don’t give up, you can achieve anything you want to achieve.” Tell us how his mantra has resonated with you. Explain your dreams and how you plan to achieve them while also positively impacting those around you.

500 words left

Letters of Recommendation *

Please upload two letters of recommendation from (1) a school administrator, teacher, or counselor; and (2) from a religious leader, volunteer program, or mentor who knows you. (PDF or DOCX files accepted).