Scholarship Application

Personal Information

Family Information

Enter N/A if not applicable.

Educational and/or Vocational Plans

College Information

You are required to list a college. If your college choice changes, please notify the Scholarship Office.

Activities Record

Please note the grade level in which you participated in each activity. i.e Key Club - 9,10, 11, 12 or Basketball Team 11,12.

Personal Essay

*** If you have any issues on submission, submit the application once more without files and email your files separately to info@carlosvieirafoundation.org ***

Transcripts

Demographic Questionnaire

Please Note: This next section is optional and not required to be filled out in order to qualify for the Carlos Vieira Foundation Race To End The Stigma Scholarship. However, it is essential information needed by the Carlos Vieira Foundation when applying for funding which will allow us to create more scholarships.

Signature(s)

By checking the box below you are signing this form, verifying that all the above information is accurate. Signing and submitting your application also gives the Carlos Vieira Foundation permission to share your essay on their website or other CVF platforms.
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