Only applications received from January 15 to April 15 will be accepted.  Applications received outside of this period will not be reviewed.

Applicant's Full Name	*
Only applications received from January 15 to April 15 will be accepted. Applications received outside of this period will not be reviewed.
Address	*
City	*
State	*
Zip Code	*
Current Contact Phone	*
Email Address	*
High School Name	*
Guidance Counselor	*
City	*
State	*
High School GPA: (unweighted)	* For Example 3.7 out of 4.0
High School GPA: (weighted, if available)	*
// An UNOFFICIAL copy of your transcript must be sent with the application. The student selection committee will request an official copy if you are selected as a scholarship finalist. //
ACHIEVEMENT: TEST SCORES AND CURRICULUM
SAT: (Math /800)
SAT: (Verbal/Reading /800)
SAT: (Written /800)
SAT: (Total/Composite /2400)
Date Taken
ACT: (Math /36)
ACT: (Science /36)
ACT: (Verbal/Reading /36)
ACT: (Written /36)
ACT: (Total/Composite /36)
AP/Honor's Courses:
Community Service/Extracurricular:
Special Recognition/Honors/Awards: (Tell us about achievements that may distinguish you from most high school seniors.)
Parent/Guardian Contact Information
Guardian Name(s)	*
Relationship	*
Email	*
Address	*
Occupation	*
Parent(s) annual approximate gross income	*
Other than applicant, number of siblings in college	*
Number of siblings in high, middle or elementary school	*
COLLEGE CHOICES: Forward College letter(s) of acceptance/financial award with this application for selected college if available.
College/University Accepted To:	*
Intended Field of Study	*
Cost of School /yr	*
Amt. of Fin. Aid Received /yr	*
College/University Accepted To:
Intended Field of Study
Cost of School /yr
Amt. of Fin. Aid Received /yr
// Are you and a parent/guardian/adult chaperone available to attend to the Foundation's Annual Fall Recognition event?
1. Student - Availability/Willingness to Travel to the Fall Recognition Event in October/November:	*	Yes No Unknown
2. Parent - Availability/Willingness to Travel to the Fall Recognition Event in October/November:	*	Yes No Unknown
// Depending on financial situation, the Foundation may help with travel stipend for winners. (This stipend is made solely at the discretion of the Executive Board of the Foundation)
// ESSAY PORTION: (500 words or less)
1. Please provide a brief biography. Please include any situations of hardship or adversity that you have experienced in your life including any triumphs. (REQUIRED)	*
2. Tell us why you should be selected as a LEAD Scholarship Foundation winner. (REQUIRED)	*
// By entering your name and initials, you electronically authorize the validity and use of the information you have provided in the above document for purposes of reviewing and/or awarding by the 2018 LEAD Scholarship Foundation.
Name:	*
Initials:	*
Date	*
Scholarship Criteria/ Application Submission Requirement Checklist:	*	Applicants have to be legal residents of the continental United States. The LSF, Inc. Scholarship is open to African-American high school seniors with a demonstrated and proven financial need who plan to attend an accredited college or university, have a grade point average of B (3.0) or better Whose academic records give evidence of scholarly achievement. Proof of enrollment in an accredited 2- or 4-year college or university. Please forward a copy of the admission and financial award letters sent by the school. Financial aid form (ex. FAFSA) and the Financial Student Aid Report should also be sent. (These documents may be requested to verify financial need prior to scholarship recipients being announced/awarded.) An unofficial copy of your transcript must be sent with the app. The student selection committee will request an official copy (school seal or authorized signature on transcript in a sealed envelope) if you are selected as a scholarship finalist. REQUIRED: Two typed, 500-word or less essays encompassing the topics listed in this application must be completed. (Note: Spelling, punctuation, and grammar are important.) The essay should include all extenuating circumstances that should be considered by the scholarship committee in assessing financial need. Failure to complete both essays will result in the application not being considered. Include any other supporting information if available. Ex. Résumé, etc. (While not required, these documents could assist the Student Selection Committee in the determination of scholarship winners). Final candidate selection may require a phone interview with the Student Selection committee. Children of Merck Employees are not eligible for this scholarship.
// ALL CRITERIA MUST BE MET
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