First Name (required)

Last Name (required)

Student ID# (required)

Street Address

City

State (Must be a District of Columbia Resident)

Zip Code

Phone Number (required) ###-###-####

Your Email (required) ex: John.Smith@udc.edu

Education Information

Major (required)

Cumulative GPA (required)

Classification (required)
—Please choose an option—JuniorSenior

Requirements

Are you a U.S.Citizen?
—Please choose an option—YesNo
Are you a D.C. Resident?
—Please choose an option—YesNo
Did you graduate from a D.C. Public School?
—Please choose an option—YesNo

Essay Requirement

500-word essay titled "Why I Chose My Major"

Letter of Application/Cover Letter

2 Letter(s) of Recommendation
Recommendation 1

Recommendation 2

Signature (required)

Date

* Must be available for an interview by a committee of James Edwards Miller Scholarship members *

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