Agents of Change Scholarship Application RM_StatsFirst Name *Last Name *Email *Your Address (must be a Brooklyn resident) * Powered by GOOGLE MAPS Street Number Street Address City State Country Zip Code Apt NumberPhone NumberDate of Birth *Current School *Current Classification *Select an optionFreshmanSophomoreJuniorSeniorGraduateName of the College/University you will be attending in the Fall of 2019: *Fall 2019 Classification *Select an optionFreshmanSophomoreJuniorSeniorGrade Point Average: (GPA): *Have you taken the ACT exam? * Yes No If yes, score? *If no, when do you plan to take the exam? *Have you taken the SAT exam? * Yes No If yes, score? *If no, when do you plan to take the exam? *What major/degree do you plan to obtain as you continue your education? *List your academic honors, awards and membership activities: *List your community service activities, hobbies, outside interests, and extracurricular activities: *Please upload a copy of your acceptance letter. *Please upload a copy of you transcript. *Please upload proof of enrollment. *Please upload a copy of your resume. *Please upload a your personal essay. * Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu. info@agentsofchangesholars.org https://sverige-ed.com/ 347-452-0802