To apply for Ben Kaplan's Power of Family Scholarship, simply fill out the following application form. Don't forget to paste your student and supporter essays in the space provided!


 


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Ben Kaplan's Power of Family Scholarship Application Form

Thank you for your interest in Ben Kaplan's Power of Family Scholarship Program. We look forward to reviewing your application!

Please complete this official entry form in its entirety and then click the "Click Here to Submit Your Application" button shown at the bottom of the page. Please double-check the spelling of both the student's and supporter's e-mail addresses because this is how we will be contacting you. Note that all applications must be submitted by the May 15, 2006 application deadline.

After submitting your application, you will be taken to a page that confirms our receipt of your application. You will also receive an e-mail confirmation of your entry sent to both the student's and supporter's e-mail addresses that you specify.

For an application to be valid, you must submit one original essay by the student (no more than 500 words) and one original essay by the supporter (also no more than 500 words). There are other rules and guidelines that apply, which are described in our Official Rules.

STUDENT INFORMATION

For more information on the types of students who are eligible to apply
(you need not be currently enrolled in school), see our Official Rules.
 
First Name:      (Required)
Middle Initial:   
Last Name:      (Required)
E-mail Address:      (Required)
Verify E-mail:      (Re-type e-mail)
   
Address Line 1:   
Address Line 2:   
City:      (Required)
State/Province:      (Required)
Country:      (Required)
Zip Code:      (Required)
Phone:      (Required)
   
Age:
(as of today)		     (Required)

When were you born?
(If under age 18, a parent or guardian must fill out form on student's behalf.)		  
     (Required)

Gender: 		     (Required)

Current School Type:		  
     (Required)

Current Grade Level:		  
     (Required)

School Name: 		  
  (If Applicable)

How did you hear about this scholarship?		  
  

 
  
 

SUPPORTER INFORMATION

For more information on the types of individuals who qualify as "supporters"
(including parents, coaches, mentors, and more), see our Official Rules.
 
First Name:      (Required)
Middle Initial:   
Last Name:      (Required)
E-mail Address:      (Required)
Verify E-mail:      (Re-type e-mail)
   
Address Line 1:   
Address Line 2:   
City:      (Required)
State/Province:      (Required)
Country:      (Required)
Zip Code:      (Required)
Phone:      (Required)
   

Gender: 		   (Required)

I support the student in the following way... 		  
     (Required)
If you answered "other" above, please explain:
  
  

 
  
 

STUDENT ESSAY

It is important that you answer ALL of the specified essay questions.
We suggest that you re-read the essay questions before submitting
your application. For more on how to write a strong scholarship essay,
see Ben Kaplan's Essay Boot Camp CD-ROM guide.
 
 
  STUDENT ESSAY TITLE:

  

  STUDENT ESSAY TEXT:       

 
   
 


SUPPORTER ESSAY

It is important that you answer ALL of the specified essay questions.
We suggest that you re-read the essay questions before submitting
your application. For more on how to write a strong scholarship essay,
see Ben Kaplan's Essay Boot Camp CD-ROM guide.
 
 
  SUPPORTER ESSAY TITLE:

 

  SUPPORTER ESSAY TEXT:    

 
   
 
FINAL SUBMISSION VERIFICATION

The boxes shown below must be checked in order for us to consider your application:

STUDENT:   I have read and agree to the Official Rules.

SUPPORTER:   I have read and agree to the Official Rules.



  
    (please click only once... it takes a few moments!)

 

 




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