EmailMe Form - Denmark Scholarship Application

Name *

First Last

Email Address *

Chapter *

Do you currently receive need-based financial aid from your college or university? *

Yes

No

Not sure

Do you currently receive a Federal Pell Grant? *

Yes

No

Not sure

If available, please provide your current Student Aid Index (SAI):

If you receive a $2,000 ALD scholarship, do you reasonably expect to be able to provide the remaining approximately $3,295 needed to participate? *

Yes

Probably

Not sure

No

Without receiving a $2,000 ALD scholarship, would you be able to participate in the Denmark experience? *

Yes

Probably

Not sure

No

Please briefly describe your financial circumstances and explain how receiving a $2,000 scholarship would affect your ability to participate in the Denmark experience.

Please limit your response to approximately 250 words. *

Select the ONE form of documentation of financial need you will provide. *

FAFSA Submission Summary showing your name and Student Aid Index

Current financial aid award letter from your college or university

Other documentation from your college/university financial aid office demonstrating financial need

I am unable to provide one of these documents and have explained my circumstances above.

Attach the documentation for the financial need selected above.

Please redact Social Security numbers, addresses, account numbers, family income, asset information, and other information that is not necessary to verify financial need. *

Signature
By typing my name below, I certify that the information provided in this application is accurate to the best of my knowledge. I understand that only two $2,000 scholarships are available and that submitting an application does not guarantee an award.

I understand that scholarship funds must be applied toward participation in the ALD Well-Being Experience: Denmark 2027 and are subject to the program's participation and cancellation policies. *