Naureen F. Collazo Scholarship Application

Applicant Contact Information

First name

Last name

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Type of phone

Voice

Videophone

Other

Location & School Information

What is the name of your high school?

What county is your high school in?

If you answered 'Other' above, please type in your county here.

What is the name of the college or university you plan to attend?

College / university location

City

State

Estimated start date

Month

Day

Year

Copy of your official college/university acceptance letter on letterhead

Why did you decide to go to college?

Essay (ASL or written)

How to advocate for oneself to obtain preferred communication access?

Upload an essay, one page or less, on the subject of “How to advocate for oneself to obtain preferred communication access.” Each essay may be submitted in writing or in ASL. The ASL version must include a written translation into English for publication

Video URL

Youtube, Vimeo, or any other third-party video hosting

References

References should not be related to the student and can include individuals such as a teacher, camp counselor, or employer. Each reference is required to submit a separate letter describing the applicant’s character and commitment to higher education.

Reference #1

First name

Last name

Relationship to student

Phone

Type of phone

Voice

Videophone

Other

Reference #1 Letter

Reference #2

First name

Last name

Relationship to student

Phone

Type of phone

Voice

Videophone

Other

Reference #2 Letter

Naureen F. Collazo Scholarship Application

Applicant Contact Information

Location & School Information

Essay (ASL or written)

References

Reference #1

Reference #2

Join the DHCC mailing list