2022 Scholarship Application 2022 Academy for Lifetime Learning Betty Ross Scholarship Application Today's Date(Required) MM slash DD slash YYYY Personal and Contact InformationName(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Email Address(Required) Confirm Email Address(Required) Address(Required) Street Address or P.O. Box Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Name(s) of Parent(s) or Legal Guardian(Required) First Last Address of Parent(s) or Legal Guardian(Required) Mailing Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone of Parent(s) or Legal Guardian(Required)Educational InformationHigh School Attended(Required) Year of Graduation(Required) Grade Point Average (GPA) on a 4.0 Scale(Required) Upload proof of your GPA such as a copy of your most recent unofficial or official school transcript or GED. File formats accepted are .pdf, , .jpg, .jpeg, or .png. If the image has been taken with your phone camera, please make sure the image is clear and readable.(Required)Max. file size: 256 MB.Eastern Shore Community College Degree Earned (specify which degree and year earned if applicable) Eastern Shore Community College Years Attended (if applicable) Which college or university do you plan to attend in the fall of 2022?(Required) Upload a copy of your acceptance letter from this school. File formats accepted are .pdf, .jpg, .jpeg, or .png. If the image has been taken with your phone camera, please make sure the image is clear and readable.(Required)Max. file size: 256 MB.What is your intended field of study?(Required) List your academic and non-academic honors and awards. Add RemoveClick on the + sign to add a line.List your extra-curricular activities, community service activities, hobbies, and other interests. Add RemoveClick on the + sign to add a line.Character ReferencesList the names of two character references with phone numbers and email addresses. Each must write a reference letter in support of your application. They may either (1)give a copy of the letter to you to upload with this application; (2)email a copy of their letter directly to the Academy at esvaall@gmail.com no later than May 25, 2022 (the subject line of the email should be "Scholarship Reference for _____), or (3)mail their letter no later than May 25, 2022, to The Academy for LIfetime Learning; Attn: MaryKay Mulligan, A.L.L. Board President; P.O Box 509; Exmore, VA 23350.(Required) Add RemoveClick the + sign to add the name, phone number, and email address for your second reference. If the writer of a reference has given a copy of his or her letter to you, use the area below to upload it. File formats accepted are .pdf, .jpg, .jpeg, or .png. If the image has been taken with your phone camera, please make sure the image is clear and readable. (If a writer has not given a copy of the letter to you, be sure he or she is aware of the deadline for emailing or mailing it directly to the Academy and the addresses needed to do so.) Drop files here or Select files Max. file size: 256 MB. Required EssaysEssay One: Upload a personal essay of at least 600-800 typed words on the subject of “What Motivates Me to Pursue My Chosen Field of Study."(Required)Max. file size: 256 MB.Essay Two: (There are no "correct" answers to these essays. We are looking for personal stories from students on value decisions which face all of us and define who we are.) Upload an essay of at least 600-800 typed words on ONE of the following topics: (CHOICE 1) Integrity (What does integrity mean to you in your life and your personal decisions?) (CHOICE 2) Courage (What is the most courageous thing you have done? Why did you do it, and what were the consequences?) (CHOICE 3) Excellence (What are the tradeoffs between doing the best job and getting things done on time? How do you decide which is the appropriate strategy?)(Required)Max. file size: 256 MB.DeclarationAgreement(Required) I certify that the answers on this Scholarship Application are true and accurate to the best of my knowledge and that the attached essays are my own original work.This application and all accompanying materials must be submitted no later than May 25, 2022. Before clicking the Submit button below, use the following list to doublecheck that all required information has been included.I have uploaded proof of my GPA. such as a copy of my most recent school transcript or my GED. Yes No I have uploaded a copy of my letter of acceptance from the college or university I plan to attend in the fall of 2022. Yes No I have listed two character references with their names, phone numbers, and email addresses on this application. Yes No I have arranged for the Academy to receive these character references no later than May 25, 2022. I have uploaded copies of both letters with this application. I have uploaded a copy of one of the letters with this application and have informed the writer of the other that it must either be emailed (with the subject line "Scholarship Reference for ______" to the Academy at esvaall@gmail.com no later than May 25, 2022, or mailed no later than May 25, 2022, to the Academy for LIfetime Learning; Attn: MaryKay Mulligan, A.L.L. Board President; P.O. Box 509; Exmore, VA 23350. I have arranged for both writers to either email their letters (with the subject line "Scholarship Reference for ______") to the Academy at esvaall@gmail.com no later than May 25, 2022, or mail them no later than May 25, 2022, to the Academy for LIfetime Learning: MaryKay Mulligan, A.L.L. Board President; P.O. Box 509; Exmore, VA 23350. Essay One (I have uploaded a 600-800 word essay titled "What Motivates Me to Pursue My Chosen Field of Study.") Yes No Essay Two (I have uploaded a 600-800 word essay on ONE of the following three topics: Integrity, Courage, or Excellence.) Yes No I have completed all required items and any other applicable items in the each section of the application. Yes No Please note that the Scholarship Committee may request a personal interview with you.