LHA Higher Ed Scholarship - Stuhr Museum : Stuhr Museum

Applicant Information

Name*

Name:

First Last

Date of Birth*

Date of Birth:

Phone:

Phone

Email

Email:

Address

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gender Pronoun(s):*

Gender Pronoun(s):

Student Race/Ethnicity (Select Multiple Boxes)*

Student Race/Ethnicity (Select Multiple Boxes):

White – For example: German, Irish, English, Italian, Polish, French, etc.
Hispanic, Latino, or Spanish origin – For example: Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc.
Black or African American – For example: African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc.
Asian – For Example: Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc.
American Indian or Alaska Native – For example: Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.
Middle Eastern or North African – For Example: Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc.
Native Hawaiian or Other Pacific Islander – For example: Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc.
Some other race, ethnicity, or origin

What is the highest level of education have your parent/guardians completed?*

What is the highest level of education have your parent/guardians completed?

School Currently Attending:*

School Currently Attending:

Current GPA*

Current GPA:

Have you participated in the LHA Program?*

Have you participated in the LHA Program?

LHA Volunteer Hours Completed

LHA Volunteer Hours Completed:

Volunteer Hours Completed in Community (non-LHA)

Volunteer Hours Completed in Community (non-LHA):

Are you and/or your family members of Stuhr Museum?*

Are you and/or your family members of Stuhr Museum?