Ayesha & Ali Academic Scholarship

All * fields are mandatory

11026 Dorsch Farm Road
Ellicott City,
MD 21042
Phone    : 410 258 4758
Fax         : 410 696 2112
Email      : info@padder.org
Website : www.padder.org

Student Information

FirstName*	MiddleName	LastName *
Address *
City *	State *	Postal Code *
Phone (123-123-1234)	E-Mail Address
Race/Ethinicity * African American Asian Caucasian Hispanic Native American Other	Residence Status * US Citizen US Permanent Resident International Student

High School Records

Howard County High School Student * Yes No
High School *	City *
State *	ZipCode *
Cumulative GPA *	ACT Score	SAT score
Graduated Date *
Please any awards or honors that you have received. *
Please list any sports, extracurricular, or community service activities that you have participated in
Hobbies and Interest(s) *
Future Goals *

College Information

Name of College you will be attending *
Address *
City *	State *	ZipCode *
Phone No (123-123-1234) *
Major (if Undecided, put in Undecided) *		Minor
Expected Graduation Date (MM/DD/YYYY) *

Essay Questions

Please answer one of the following questions in 200-500 words:

1) Why should we consider you for this Scholarship?

2) How has your experience in high school trained you for college?

3) What will be your greatest obstacle in college?

References

You may attach recommedation letters from your teachers, principal(s), employers.Please be sure that each letter is signed and contact information of the signee is available
Name *	Title *
Phone (123-123-1234) *	E-Mail Address *

Name	Title
Phone (123-123-1234)	E-Mail Address

Name	Title
Phone (123-123-1234)	E-Mail Address
Ayesha and Ali Padder Foundation Scholarship Condition(s): By signing this application form you are agreeing to the following conditions: (i) The information i have provided is true and accurate to the best of my knowledge (ii) I agree to provide a copy of my college acceptance letter to (iii) I agree to provide a copy of tax papers to show forth my financial need

Your generous contribution will help us expand our programs



First Name
Last Name
E-mail ID