Real Life Scholarship Application

Application Deadline: 11:59 PM on March 15, 2023

The Real Life Scholarship is a need-based college scholarship available for Real Life high school seniors or college students of refugee or immigrant background.

Please complete the form below to apply. You can save your work and return later by selecting the Save button at the bottom of the form.

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Birthdate *

Gender *

Were you born in the United States? *

What country outside the U.S. did you or your parents come from? *

What is your relationship status? *

Are you a parent? *

If yes, how many children do you have?

What is your primary form of transportation? *

Do you have a driver's license? *

What is your parents' highest level of education? *

Number of people in your household living with you *

Do you or your family receive housing assistance? (Public Housing or Section 8) *

Are you or your family currently renting or have you purchased your home? *

Have you spent time in the U.S. foster care system? *

Education Information

Are you currently attending college -OR- are you a High School Senior or just starting college? *

What year did you graduate or what year will you graduate from high school? *

What high school did you attend or are you currently attending? *

What college/university do you plan to attend or are currently attending? *

When did you start at this college/university or when do you plan on starting at this college/university? *

What is your student number, if known? (enter "don't know" if not known) *

Have you applied for the 2022-2023 FAFSA? *

Employment and Scholarships

Are you currently employed? *

If employed, where are you employed?

If employed, how many hours do you work per week?

Have you applied for or already been awarded other scholarships or financial assistance? *

Yes
No

If yes, please explain.

Real Life Site

Which Real Life partner have you participated with? *

Promise South Salt Lake
Umoja Generation
Refugee and Immigrant Services - Asian Association of Utah
Salt Lake School District

Which Real Life site(s) have you participated at? *

Real Life has partnered with Promise South Salt Lake, Umoja Generation, Refugee and Immigrant Services - Asian Association of Utah, and Salt Lake School District at the following after-school sites: Meadowbrook - STEM, Historic Scott School, Granite Park Jr. High, Kearns-Saint Ann, Hser Ner Moo, Cottonwood High School, Utah International Charter School, Central Park PAL, Umoja Generation, Sunnyvale Neighborhood Center, Olympus High School, Evergreen Jr. High, Sunnyvale Neighborhood Center, Northwest Middle School, Highland High School, and West High School.

What was the name of the coordinator(s) overseeing the site(s)?

Recommendation

To complete your application, we must receive one recommendation forms from a person who knows you well and can speak on your behalf.

1. Click here to access the Recommendation Form.
2. Send the Recommendation Form to someone who can speak on your behalf.
3. The recommender must fill out the Recommendation Form by March 15, 2023
4. Any questions, contact melissa@youthlinc.org

Recommender Name *

First

Last

Recommender Email *

Uploads

Upload 1-2 page personal statement *

Click or drag a file to this area to upload.

Upload current high school/college transcript (these can be unofficial) *

Click or drag a file to this area to upload.

Upload copy of your photo I.D. (driver's license, state I.D. or school I.D.) *

Click or drag a file to this area to upload.

Signature *

I understand that in submitting an application for the Real Life Scholarship Award I am also granting Youthlinc the permission to use my likeness in a photograph, video, or other digital media in any and all of its publications, including web-based publications, without payment or other consideration. I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS.