Donnelly College Bloch Scholars Program Application for Fall 2025

The DEADLINE for submitting Bloch Scholars Program Applications at Donnelly College is Saturday, March 1, 2025.

DIRECTIONS: Please fill out this application as completely and as accurately as possible. Applications that are incomplete or inaccurate may be disqualified. This application must be completed and all required documents (including FAFSA or Donnelly Financial Aid documentation) must be submitted by Saturday, March 1st.

1Student Information > 2Current Academic Information > 3Letter of Recommendation > 4Transcript & FAFSA Uploads > 5Essay Question > 6Certification > 7Review Your Entry
Student Information

Please answer all questions to the best of your knowledge.
First Name
Preferred Name (if different from your first name)
Last Name
Date of Birth Date of Birth / MM / DD YYYY
Social Security Number
(if none, please enter 0)

Do not include dashes.
Permanent Address Permanent Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
If you live in an apartment please list your apartment number in one of the address lines.
What county do you live in?
Cell Phone Cell Phone - ### - ### ####

What phone number can we use to directly contact you?
Alternate Phone Alternate Phone - ### - ### ####

What phone number can we use to directly contact you?
Email

Confirm Email Address

What is the best email to reach you at?
Alternate Email
Additional Information
Are you a U.S. Citizen or Permanent Resident?

If "yes," you must complete the FAFSA. If not, you must complete Donnelly Institutional Aid Forms.
Gender
Race/Ethnicity (please select all that apply)

Race/Ethnicity (please select all that apply) American Indian or Alaska Native Asian Black or African-American Hispanic or Latino Middle Eastern or North African Native Hawaiin or Pacific Islander White

Note: This is for informational purposes only and will not affect selection for the Bloch Scholars Program.
Did either of your parents complete a 4-year college degree?
How did you first hear about the Bloch Scholars Program?

How did you first hear about the Bloch Scholars Program? Teacher or School Counselor Friend Email Website College Fair or Visit from a College Admissions Counselor Campus Visit Other Other

Donnelly College Bloch Scholars Program Application for Fall 2025

Donnelly College Bloch Scholars Program Application for Fall 2025

Student Information

Additional Information