Please Enter your ADP PositionID #: Your ADP Position # will start with J5K0 (and then it will be your prior VIBE #. For example, J5K054782. You can find your ADP Position # on your profile within ADP, or stop by HR and someone can pull it up for you.

APPLICATION FOR SCHOLARSHIP

ANDIS FOUNDATION, INC.
NEXT GENERATION LEADERS SCHOLARSHIP PROGRAM
NEW & RE-APPLICATION
I hereby apply for a scholarship under the Andis Foundation, Inc. Next Generation Leaders Scholarship Program and submit the following information.
All Applicants: Complete Questions 1-8.
Read Full Details and Instructions
^* indicates a required field

1. my name (last)^*

(first)^*

(middle)

2. my home address^*

city^*

state^*

zip^*

3. my birth date^*

4. my email address^*

5. my phone^*

This application for scholarship is based on the employment status of the following person employed at Andis Company.

6. employee's name (last)^*

(first)^*

7. relationship to me^*

8. employee's home address^*

city^*

state^*

zip^*

9. List your work and/or volunteer activities during the past 3 years, if applicable.

10. List all elementary, high schools, other secondary schools and/or colleges attended:

name of elementary school

address

city

state

zip

attendance dates (start)

(end)

graduation date

name of high school

address

city

state

zip

attendance dates (start)

(end)

graduation date

name of college (specify)

address

city

state

zip

attendance dates (start)

(end)

graduation date

IMPORTANT:
If you have earned credit in schools other than the one you are now attending (or last attended), be sure that all grades and credits are included in your school transcripts to be furnished by your last school attended principal.

Upload Transcripts Upload Transcripts or Progress Report FILE MUST BE OF TYPE PDF AND LESS THAN 7MB

11. In what high school, trade, tech, professional school or college have you been accepted to:

name of first choice

address

name of second choice

address

name of third choice

address

12. What are your personal development and educational plans? 10. What are your personal development and educational plans?

13. Are you the first person in your extended family (that is, parents, grandparents, aunts and uncles) to pursue an education at the level for which you are applying for a scholarship?

11. Are you the first person in your extended family (that is, parents, grandparents, aunts and uncles) to pursue an education at the level for which you are applying for a scholarship?^*

yes

14. List your participation in school activities, such as: class officer, band/orchestra, athletics, drama, debate.

12. List your participation in school activities, such as: class officer, band/orchestra, athletics, drama, debate.

First
Activity

Position
Held

Hours Spent Per Week

Year of Participation

Second
Activity

Position
Held

Hours Spent Per Week

Year of Participation

15. List your participation in activities outside of school, such as: scouts, church or community organizations. Designate in right hand column the school year in which you participated in each activity (ex: 2016/17, or 2016/17 and 2017/18).

13. List your participation in activities outside of school, such as: scouts, church or community organizations. Designate in right hand column the school year in which you participated in each activity (ex: 2016/17, or 2016/17 and 2017/18).

First
Activity

Position
Held

Hours Spent Per Week

Year of Participation

Second
Activity

Position
Held

Hours Spent Per Week

Year of Participation

16. Personal Statement: Describe in one sentence your best attribute. Consider an attribute that has impacted your life so far and how you see it impacting your future. 14. Personal Statement: Describe in one sentence your best attribute. Consider an attribute that has impacted your life so far and how you see it impacting your future. (You can keep or update prior statement.)

17. VIDEO (UP TO 2 MINUTES, USING YOUTUBE OR VIMEO USING AN UNLISTED VIDEO LINK) ANSWERING THE QUESTIONS:
What does a good education mean to you?
What do you want to do with it?
THE VIDEO LINK MUST REMAIN ACCESSIBLE THROUGH JUNE 15TH

15. Update year in school, name of school, and field of study. Explain any changes.

I certify that all statements contained in this application are true, and that I believe myself eligible to apply for a scholarship under the provisions and conditions of the Andis Foundation, Inc. Scholarship Program.
Include with this application:
Submit this application, current transcripts and video.
Submit this application, progress report or current transcripts
Electronic Signature Acknowledgement:

By checking this box, typing your name in the signature field below, and submitting this form electronically (via email), you affirm that all information contained within this application was completed truthfully and to the best of your knowledge, and you understand and agree that your electronic signature below will serve the same purpose as signing your physical signature by hand.^*

Student Signature^*

Dated^*

Co-signature of High School Applicant’s Parent

Dated

Questions may be addressed by emailing Andis Foundation, Inc. at foundation@andis.org or by calling the Foundation office at 262.754.2799.

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