DISC On-Line Scholarship Application - Applications  are CLOSED!

General

Applicant ID:   Create a personal id for this application - must be a minimum of 10 characters
Name - First:     Middle:     Last:
Address:       :
Address (cont):
City:     State:     Zip:
Country:
Home Phone: Phone Number at your permanent residence
School Phone: Your School or Cell Phone Number
Email address:
Email confirm: Please type your email a 2nd time for confirmation
Current Grade:
For which Scholarship Tracks are you submitting an Application? (Check all that apply)

Essay
Presentation
Internet
Do you also wish to apply for the Founder's Award (Refer to instructions for additional information)?.............................   YES NO
What college, university or other school do you plan to attend? List preferences if unknown
Choice 1: Choice 2:
Choice 3: Choice 4:
I certify that I have read all the scholarship instructions and know that all materials must be received by the committee by the posted deadline.............. YES No

Challenges Completed

How many years have you participated in a CPS program sponsored by DI, Inc?
List the Challenges (problems) you have participated in or are currently participating in.
If you have participated for more than 10 years use the text box at the bottom to add the additional years
--Year-- Challenges Completed
Use the space below if you need more room

DI Awards and Other Involvement in DI

Use the space below to list any special awards you or your teams have received
List other Involvement in Destination Imagination such as working as a tournament official,
leading training, working as a team manager, etc.
If you need more room use the area at the bottom of the form
--Year-- Other Involvement
Use this space if you need more room to describe your other involvement in DI

Team Application Information

Complete this section ONLY if you are submitting an Internet or Presentation Application as a Team
Enter the names and email addresses of all your team members here (including yourself)
The Award will be distributed evenly among the Team Members.
Each team member must submit a separate application with their private personal information
 
             First Name       Last Name       Email Address
 1
 2
 3
 4
 5
 6
 7
 8

Founder’s Award

DISC has established a $500 Founder's Award in recognition and appreciation of the founders of the first
booster organization for DI, VOMBO. The winner will be chosen from applicants for all three tracks. The award is
given annually to the applicant that best exemplifies the spirit of VOMBO through volunteering in support
of Destination ImagiNation and its mission.
 
In 250 words or less, use the space below to tell us why you should be considered for the Founder's Award.

               

Please Complete the Application.
To Retrieve an Application, enter your Applicant ID, then click the Retrieve button.
If you do not remember your ID...contact scholarshipchairs@idodi.org.
Application must be completed and all backup information submitted by February 1, 2012