Safe Passage Foundation - Scholarship Application

Personal information

Name

Address

City

State

Zip/Postal Code

Country

Home Phone

Name of the cult/high demand organization you were raised in. Whether or not the community the applicant was raised in meets the criteria established for an HDO will be determined by the selection committee.

Scholarship Category

Application Category

Financial Need

Academic Achievement

Community Involvement

You may apply in more than one category as long as you meet the requirements and submit any required information and/or documentation

Educational information

School Name

Department/Major

School Phone

School Address

City

State

Zip

Country

Academic period start

Academic period end

Financial Need Assessment

Please complete this section if you are applying the financial need category.

Net Income Your net income after taxes for the academic period entered above. Do not include student loans.

Cost of tuition and fees

Other Expenses Include all other expenses including textbooks, supplies, housing and food.

Marital Status

Married

Single

Other

Number of Dependent Children

Number of Other Dependents

Relationship to Other Dependents

Additional Information Please add any additional information regarding your financial situation you would like us to consider.

Academic Achievement

To be eligible for an award in this category, the applicant must currently have and maintain a grade average equivalent to at least 80%. Transcripts of the applicant’s grades must be submitted with the application. Successful applicants must submit transcripts each semester for the previous term.

Attach Transcripts

Drop files here or click to upload.

Community Participation and involvement

To be eligible for an award in community participation and involvement, an applicant must have demonstrated leadership, outstanding achievement over obstacles and/or commitment to community participation, including (but not limited to) improving the lives of other current and/or former HDO children. Attach two letters of reference in support of your application from people who can attest to your community involvement, participation in volunteer activities and/or outstanding accomplishments. Attach a statement explaining how you believe you meet the criteria for this award and why you would be a worthy recipient.

Attach Reference Letters

Drop files here or click to upload.

Personal Statement

Declaration

I hereby certify that the information provided on this application is, to the best of my knowledge, true and complete. I understand I may be required to supply additional documentation if this application is successful and if I am requested to do so.

Signature Please sign by typing your name.