Bloom Scholarship Alumni Application

Personal Information

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date of Birth

YYYY

Education

Are you currently enrolled as an under-graduate or graduate student?

Please choose your answer from the drop down menu below.

Have you enrolled in a different school than the one you began the 2024 school year at?

If your school has changed, please provide the name of the school plus the updated cost of tuition, fees, books and supplies.

Do you hold the same major as you did when you began the 2024 school year?

If you changed, please list your new major and let us know why you decided to make the change. :)

Are you planning on enrolling in school full time or part time next year?

Cumulative Grade Point Average (GPA)

(On a 4.0 Scale)

Anticipated date of completion of the certificate or degree

YYYY

List any academic honors, awards, and membership participation since start of 2024.

Financial Information

What will your tuition & books costs be for the upcoming school year?

Have you applied for and/or received any other scholarships or financial awards for the upcoming school year?

Please list who you have received awards from and dollar amounts of what you have received.

General Housing

Do you plan on living in school housing next school year or do you plan on living off-campus in independent housing?

On-campus Housing

If you plan to live on-campus, how much will your housing and meal plan be for the next school year?

Off- campus Housing

If you live plan to live off-campus, will you be participating in the school's meal plan or will you handle your meals independently?

Certification

Please sign and acknowledge the following statement.

I acknowledge decisions of Taylor’s Closet are final. In submitting this application, I certify I meet the eligibility requirements of the program as described in the guidelines and the information provided is complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information may be cause for disqualification, and that falsification of information may result in termination of any award granted. I understand that all letters of recommendation are confidential, and the content will not be shared with me.

First Name

Last Name

Date

YYYY