Ronald Reagan College Leaders Scholarship Program

Ronald Reagan College Leaders Scholarship Program Application

To apply for a 2012 Ronald Reagan College Leaders Scholarship, please fill out and submit the form below.

Application deadline for academic year 2012-2013 is January 17, 2012.

Personal Information

Name

First : *

Middle :

Last : *

Suffix :

Date of Birth : *

US Citizen? (Award open to US citizens ONLY!) : *

Name(s) of Parent(s) or Guardian(s) : *

Address

Address 1 : *

Address 2 :

City : *

State : *

Zip : *

Permanent Mailing Address

Address 1 :

Address 2 :

City :

State :

Zip :

Contact Information

Home Phone :

Cell Phone :

Other :

Email : *

School Information

Name of College or University Currently Attending : *

Address 1 : *

Address 2 :

City : *

State : *

Zip : *

Year You Enrolled In School : *

Year You Expect To Graduate : *

Current Course Hours This Semester : *

Current Total Course Hours : *

Student ID Number : *

Major Field of Study : *

Cumulative GPA : *

As of (Date) : *

Leadership Information

Please list your extracurriculars, honors, memberships, leadership positions, and major accomplishments. Or include resume or other summary in supplemental materials. :

Please list your "top three" leadership accomplishments. :

Optional Information

I will send a graded essay/composition/term paper/exam that highlights my ideological, political, or philosophical beliefs. :

I authorize the Trustee Selection Committee to review my social media profile(s) (Facebook, Google Plus, Twitter, personal blogs, etc.) at the following url(s). I understand that The Phillips Foundation guarantees that any information contained in my profile(s) will be kept private. :

Supplementary Information

To be considered for the scholarship, the following MUST be mailed to The Phillips Foundation and postmarked by January 17, 2012. Please send to: The Phillips Foundation 1 Massachusetts Avenue, NW, Suite 620 Washington, DC 20001 Attn.: Jeff Hollingworth Check boxes to signify that you will send the materials.

Dean's or Registrar's certification of full-time enrollment in good standing :

Written narrative (500 words minimum, 750 words maximum) describing your personal background, career objectives, and scope of participation in activities promoting the cause of freedom, American values and Constitutional principles, and addressing the ideological climate at your school. Your essay should focus on how you have made or are making significant contributions toward promoting these ideals as a leader at your school and in your community. :

Minimum of two letters of recommendation. NOTE: Letters must be signed, and should be on letterhead. :

Supporting documentation for your application and essay, such as newspaper articles, videotapes or audiotapes, letters, or other materials offering evidence of your activism and leadership on campus and community leadership. Avoid binders, report covers, etc. :

Documents

You may provide the following documents electronically or via standard mail:

Resume :

Essay :

Proof of Enrollment :

Letter of Recommendation :

Supporting Documentation :

Applicant's Certification of Understanding

By clicking Submit, I understand that if I am selected to receive a Ronald Reagan College Leaders Scholarship Program award, I must earn satisfactory grades at the end of the preceding terms which will qualify me, according to my institution's standards, to enroll in the next term full-time and continue without restrictions (e.g., academic probation, disciplinary sanctions, coarse load reductions) as an undergraduate degree candidate.