I Challenge You Scholarship Application

Application Submission Instructions

Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *

Section 1: Personal Data

LayoutStudent Name: *Sex: *

• Male
• Female

Date of Birth: *ACT or SAT Score: *High School: *Age: *Graduation Date: *GPA: *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code

Name of College/University or Trade School you will attend:

School NameAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code

Section 2: Achievements & Activities

Describe your achievements:1. Academic Achievements *2. Community Services (include church, school, and community) *3. Extracurricular Activities/ Honors and Awards * 4. Leadership Ability & Achievements *Anticipated annual tuition expenses *

Section 3: Horace Mann Legacy

Layout**Are you related to any Horace Mann High School Alumni? If yes, what is his or her name?

• Yes
• No

If yes, what is his or her name?Alumni Name:FirstLastMaiden name or any other name used by alumni while at Horace Mann High School: Year(s) of attendance:** Are you related to any Horace Mann Junior High School or Horace Mann Middle School Alumni?

• Yes
• No

If yes, what is his or her name?Alumni Name:FirstLastMaiden name or any other name used by alumni while at Horace Mann Junior High or Middle School: Year(s) of attendance**Are you a Horace Mann Middle school alumnus?

• Yes
• No

If yes, what Year(s) did you attend?

Section 4: Written Communication Skills

Please Type a short essay (200 words or less) on the topic: “The importance in pursuing higher education in achieving my career goals”. *Type a brief answer (50 words or less) on the topic: “What I most want the scholarship committee to know about me”. *

Official Records

** PLEASE UPLOAD A COPY OF YOUR OFFICIAL TRANSCRIPT WHICH SHOULD INCLUDE: ACT/SAT SCORE AND GRADE POINT AVERAGE. Official Transcript *

Click or drag files to this area to upload.
You can upload up to 2 files.

(Must be signed by the registrar of the applicant’s high school) Acceptance Letter

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LayoutACT/SAT scores (If not on official transcript) *

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Recent Photo *

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Signature Page

All appropriate parties must complete the information below, sign where indicated, and scan and upload the signature page before submitting the completed application online. Student Name: *FirstLastStudent's Current School: *Layout (copy)Applicant’s Signature *Clear SignatureDate *Cell NumberMay we text you?

• Yes
• No

Applicant's Email Address: (copy) *EmailConfirm EmailLayout (copy) (copy)Parent/Guardian SignatureClear SignatureDate Cell Number May we text you? (copy)

• Yes
• No

Parent/Guardian Email Address:EmailConfirm Email
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