First Name *

Last Name *

Email *

Address Line 1 *

Permanent Home Address 

Address Line 1 *

Local Address

Phone

Permanent Home)

Phone *

Cell

Date of Birth *

Are you a permanent Alaska resident? *

Indicate which year the scholarship is requested for: *

Freshman

Sophomore

Junior

Senior

Have you ever received an AGC Scholarship? *

If yes, confirm when

Name the high school you attended *

Date you graduated, or expect to graduate, high school *

Confirm your high school GPA

Additional education information (i.e. multiple high schools, colleges, etc.)

Confirm name of college you want to attend *

Confirm major *

Confirm your student I.D. (if available)

Employment - List related work experiences during the last four years *

Career Goals Essay (Only PDFs will be accepted) *

20MB max

Essay about applicant (Only PDFs will be accepted) *

20MB max

Transcripts (Only PDFs will be accepted) *

20MB max

Letter of Recommendation (Only PDFs will be accepted) *

20MB max

Second Letter of Recommendation (Only PDFs will be accepted)

20MB max

Optional Third Letter of Recommendation (Only PDFs will be accepted)

20MB max

Optional Extra Curricular - List awards and/or additional activities such as high school/college pro

20MB max

Additional Space Attachment Option (Only PDFs will be accepted)

20MB max

I certify I plan to return/stay in AK *

I certify that to the best of my knowledge the information I provided in this application is accurat *