• First Name *
• Last Name *
• Mobile Phone *
• Email *
• Do you identify as Latino/a?
  - Select a Value - Yes No
• Street *
• City *
• County *
  Eligible Counties Cabarrus Gaston Iredell Mecklenburg Union Other
• State *
  - Select a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Islands
• Zip *
• Date of Birth *
• Gender: *
  - Select a Value - Male Female Non-binary Prefer not to answer
• What is your country of birth? *
• High school name you attended: *
• Do you have/ or will you have a computer after graduating high school? *
  Choose one Yes No Maybe
• Higher education institution that you plan to attend in the fall 2023 year: *
• Would you be enrolled as a full time or part time student based on your credit hours? *
  - Select a Value - Full Time Part Time
• What is your area of study? (Major(s) and Minor(s)) *
• What is your grandparents' country of birth? (Please write down the countries for all grandparents)
• Parent #1 country of birth: *
• Highest degree/ level of education obtained by Parent #1: *
  - Select a Value - Elementary Middle School High School Some College Associates/Technical College Degree Master's Degree Doctorate
• Parent #1 occupation *
• Parent #2 country of birth: *
• Highest degree/ level of education obtained by Parent #2: *
  - Select a Value - Elementary Middle School High School Some College Associates/Technical College Degree Master's Degree Doctorate
• Parent #2 occupation *
• Are you a first-generation student seeking post-secondary education? *
  - Select a Value - Yes No
• Is English predominantly spoken at home? *
  - Select a Value - Yes No
• Verified household yearly income: *
  - Select a Value - $10,000 to $20,000 $21,000 to $30,000 $31,000 to $40,000 $41,000 to $50,000 $51,000 to $60,000 $61,000 to $70,000 $71,000 to $80,000 $81,000 +
• How many people live in your household? List each person living in your household and include their name, and relationship. Please include yourself: *
• How many children under the age of 18 are currently living in your household including yourself?
• Are you able to apply and qualify to receive the FAFSA? *
  Pick One Yes No
• Will you receive financial aid? *
  - Select a Value - Yes No To be determined
• Will you receive/ have you applied to grants and scholarships? If so please list them here. *
• Are you currently employed? *
  - Select a Value - Yes No
• If employed, please provide the number of hours of work per week: *
• If employed, please provide name, address and phone # of employer: *
• Have you attended a LAWA High School Series? *
  - Select a Value - Yes No
• If you attended a LAWA High School Series, please list the name of the workshop you attended: *
• Are you a female applicant who is interested in Business or Public Policy careers? *
  - Select a Value - Yes No
• Are you a female applicant studying a STEM field? *
  - Select a Value - Yes No
• Are you an applicant planning on majoring in a STEM field? *
  - Select a Value - Yes No
• Volunteer Involvement - Please list community or religious groups and activities in which you have served as a non-paid volunteer this past year. *
• Total number of community service/involvement hours in 2022: *
• Has a family member received a LAWA scholarship? *
  Choose one Yes No I don't know
• If you answered yes in the previous question, please list their name/s. *
• School Involvement- Please list school extracurricular activities in which you have participated in this year (activity/ year/ leadership position, if applicable): *
• If I am selected to receive a LAWA scholarship, I agree to volunteer 3 hours and attend a minimum of 2 College Hacks workshops a year. *
  Choose one Yes No
• Personal Essay *
• Letter(s) of recommendation
• School Transcript
• Proof of Income documents
• Acceptance letter from College/University
• Attach Additional Document (Only one document can be attached here)

NOTE: If you have not been officially accepted yet, please upload a Word Document stating which schools you have applied to or are planning to apply. In order to receive funds, you must be accepted to a college/university by May 2023.

I acknowledge that the information provided in my application is, complete and accurate. I understand that any false statements on this application will disqualify me from receiving a scholarship.

All the information provided is subject to verification. LAWA has the right to make all final decisions regarding the granting of all scholarship awards.

• How did you hear about us?
  Choose one Counselor/Professor Church Flyer Friend GenOne Guardhouse LatinoYes LAWA Website My School Other Other Non Profit School Newsletter Social Media University Email
• How easy was it to complete this application? (1 being difficult - 5 being easy) *
  Please choose one 1 2 3 4 5
• Acknowledgment *
  - Select a Value - I agree I do not agree

Submit