Donovan Reichenberger Legacy Scholar Application

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Please be aware that this form will "time out" after a while of not working in it. It will not save your answers. If you are using the area below to type your brief essay, we recommend typing it up in a Word document before you begin filling out this form, so you can just copy/paste the essay into the box.

Contact Information

Student Last Name *

Student First Name *

Date of Birth (MM/DD/YYYY) *

Hometown *

Student Email *

Student Phone Number *

Major/Minor *

Classification *

Student GPA *

Student ACT/SAT Score *

Please list two references attesting to your academic abilities (Provide their name and phone numbers):

Two References *

Please provide a brief essay regarding why you wish to be nominated as a Donovan Reichenberger Legacy Scholar. Include what you hope to accomplish/learn from the program. If attaching an essay to the form, please write "See Attached."

Brief Essay *

Attach Essay (1 Page Max) - Word or PDF document

Terms & Conditions

Check this box as your Electronic Signature