Application for the Global Citizen Scholarship

READ ALL DIRECTIONS FIRST.
 Failure to do so will result in your application not being accepted.

1. Submit this online form only ONCE. Multiple submissions will not be accepted.

2. Answer all items completely.

3. Submit other parts of the application via email as instructed on the online application form.


A red asterisk (*) indicates required questions.

  1. What is your first name?*


  1. What is(are) your last name(s)?*


  1. What is your home street address?*


  1. What is the name of your city/town?*


  1. In what state do you live?  *


  1. What is your zip code?*


  1. What is your telephone number formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX


  1. What is your email address?*


  1. What is the FIRST and LAST name of your parent/guardian?*


  1. In what level of Spanish are you currently enrolled?   *


  1. What is your current grade level this school year? 


  1. What level of the National Spanish Exam did you take during last school year?  *


  1. What level of the National Spanish Exam are your registered to take during this school year?  *


  1. What is the address of your school?*


  1. What is the name of your school?*


  1. In what city/town is your school located?*


  1. In what state is your school located?  *


  1. What is your school's zip code?*


  1. What type of school do you attend?  *


  1. What is your teacher's first and last name?*


  1. What is your teacher's email address?*


  1. What is your teacher's school telephone number formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX*


  1. What is your teacher's home telephone number formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX*


  1. What date does your school year start in 2019-2020?
    Use the following format.
    September 3, 2019


  1. Why are you applying for the Global Citizen Scholarship?*


  1. Type in the URL address of your YouTube video. (Make sure that the security setting for the video is for public viewing.)

    NOTE: You should not submit this online application until you have uploaded your video to YouTube.*





Kevin Cessna-Buscemi