ALSAMP Scholarship (Currently Not Accepting Applications)

If you see this don't fill out this input box.

*First Name

*Last Name

*Date of Birth

*Gender

*US Citizenship

*Race

*Current Street Address

*City

*State

*Zip Code

*Cell Phone Number with area code

*Email Address

Please indicate which LSAMP experience you have completed, or intend to complete:

Summer Bridge ProgramSummer Research Experience for High School StudentsCommunity College Bridge to 4-Year Institution

*Graduating High School

*Location

*Home School

*Did you earn a GED?

*GPA (note: must be on a 4.0 scale)

*Highest ACT Score

Highest SAT Composite Score

VerbalMath

*Declared Major

*List all funding you're receiving for incoming academic year

*List math and science classes taken (including grades)

*List any academic achievements/honors received

*List any summer programs in which you were a participant

*List any elected or appointed leadership positions

*List volunteer activities at the school, community, state level

*List any work experiences. Indicate full-time, part-time, or summer only.

Additional Section for Community College Transfer Students.

Community College(s) Attended

Location

Earned Credits

Dates Attended

Major

Cumulative GPA

Degree Earned

Classification

Degree Sought

Advisor

Position

To Be Completed By All Alabama LSAMP Students:

*Certification

I understand that I must earn at least a 3.0 GPA every semester while also maintaining at least a 3.0 cumulative GPA for this scholarship. I have completed all sections of this application and certify that all information given in this application is complete and accurate. I understand that withholding information requested or giving false information may make me ineligible for scholarships. I authorize the release of all requested information to any agency or organization from which I may receive a scholarship or for publicity purposes.

Please click the checkbox below to complete user verification.

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