SADD NATIONAL COLLEGE SCHOLARSHIP
APPLICATION FORM 2016
Application packages must be returned by April 15, 2016
Type directly into this form, then save with your name in the document title.
Name: Male Female
Address:
City: State: Zip:
Date of Birth:Current Year in School:
Email address: CellPhone:
Parent/Guardian Name: Parent or Guardian Email:
CurrentSchool Name:
CurrentSchool Address:
CurrentSchoolCity: State: Zip:
School Telephone:
SADD Advisor: SADD Advisor Email:
College/University you will be attending in the Fall (if known):
College/University Address:
City: State: Zip:
Anticipated Year of College Graduation: Expected Major (if known):
I certify that I have provided complete and accurate statements on this application. My typed signaturebelow indicates that I will be a full-time college student in the 2016-2017academicyear, and I grant SADD, Inc. the authority to verify this information. I understand that all documents submitted in supportof this application become the property of SADD, Inc.and that they may be used for publicity and promotional purposes. I agree that if I am selected for a scholarship award, my name, photograph, and any materials submitted with this application may be used for publicity with no compensation by SADD, Inc.
Signature Date
(Typing your name serves as your legal signature)
Return to: or
SADDCollege Scholarship
SADD, Inc.
255 Main Street, Suite 208
Marlborough, MA01752
Email Submission or Application Postmark Deadline: Friday, April 15, 2016
SADD NATIONAL COLLEGE SCHOLARSHIP
APPLICANT’S PERSONAL STATEMENT
Write a brief statement describing your commitment to SADD and a safe and healthy lifestyle. You may comment on your motivation to join and remain a part of SADD, any struggles you have had in your chapter or in your own life and how you resolved them, how you have spread the word about SADD, how you have been a leader in your chapter or any other topic you feel may highlight your commitment to SADD and SADD’s goal of advancing peer-to-peer education, prevention and activism. Include specific anecdotes or examples to explain why you should receive a SADD National College Scholarship.
Applicant’s Name:
Signature: Date:
(typed signature is acceptable for electronic submission)
SADD NATIONAL COLLEGE SCHOLARSHIP
APPLICANT’S ACTIVITY SUMMARY
Please list each activity, organization, team, club, service project or group with which you are involved. If you have a résumé with comparable information, you may submit it in place of this form.
Club, Team, Group or Organization / Nature and extent of involvement(offices held, work done, etc.) / Years Involved
You may photocopy or copy and paste this form, if more space is needed.
Applicant’s Name:
Signature: Date:
SADD NATIONAL COLLEGE SCHOLARSHIP
CHECKLIST
Please make sure that you’ve completed, included, and/or confirmed all of these
items before you send in your application!
Completed Application Form
Two Applicant Recommendations (electronic submission preferred; forms can be downloaded at )
Personal Statement
Activity Summary
One copy, if submitting by email;original application
andone photocopy,if submitting by mail. Emailcopy
encouraged. Due to SADD, Inc. by April 15, 2016.
I have confirmed that my SADD Chapter is currently
registered as of this school year and my advisor has a
Certificate of Chapter Recognition dated after 7/1/15.