Kohlberg-Manacher Foundation Application

Application for Ninja Warrior
Scholarship Program

Personal and Family
School Information
Essay Questions
Review

Name

Home Address

City, State

Date of Birth

Place of Birth

How long have you lived in the U.S.?

List any psychological and/or physical disabilities

Telephone

Are you a U.S. citizen? Yes No

Parent 1 Name

Years in U.S.

Occupation

Employer

Are you in regular contact?

Date of last contact

Telephone

Same address

Address

City, State

Parent 2 Name

Years in U.S.

Occupation

Employer

Are you in regular contact?

Date of last contact

Telephone

Same address

Address

City, State

Sibling(s) Name(s) and Age(s):

Guardian Name

Years in U.S.

Occupation

Employer

Are you in regular contact?

Date of last contact

Telephone

Same address

Address

City, State

Parents’ / Legal Guardian’s $ annual income (combined)

Annual $ financial support they are able to provide (if any)

Marks mandatory fields. Please note that while very few fields are required, you should complete as many fields as possible for maximum consideration.

High School

State

City

Grade Point Average (GPA) based on 4.0 scale*

Attach Transcript Please upload file

*You must attach a copy of your transcript to be considered for a KMF Scholarship

SAT Scores

Verbal

Math

Sports, clubs, other extra-curricular activities, honors and/or unique accomplishments

Graduation date

Employment (part-time and/or summers, last 3 years)

Current College/University/Graduate or Vocational School (if applicable)

City

State

Approximate Graduation date

Grade Point Average (GPA) based on 4.0 scale*

Attach Transcript

*You must attach a copy of your transcript to be considered for a KMF Scholarship

Sports, clubs, other extra-curricular activities, honors and/or unique accomplishments

Employment (part-time and/or summers (part-time and/or summers

Target College / University (where you have been accepted and plan to attend)

Name

State

What is your likely major?

City

What financial assistance will be provided by the institution (per year)?

How much are you and your family able to contribute (per year)?

What is the $ gap between the cost to attend (tuition, room, board, etc.) and your total $ resources?

Marks mandatory fields. Please note that while very few fields are required, you should complete as many fields as possible for maximum consideration.

Why should KMF award you this scholarship? What is unique and/or special about your achievements and/or circumstances?

What two accomplishments are you most proud of, and why?

Provide two example of significant mistakes you have made and what you learned from each one.

On a scale of 1-100 (with 100 being the highest), how would you rate your level of determination to succeed? Provide one or two examples of situations in which you showed resilience after failing.

Marks mandatory fields. Please note that while very few fields are required, you should complete as many fields as possible for maximum consideration.

Personal and Family Edit

Name

Home Address

City, State

Telephone

Date of Birth

Place of Birth

Are you a U.S. citizen

How long have you lived in the U.S.?

List any psychological and/or physical disabilities:

Parent 1 Name

Telephone

Home Address

City, State

Years in U.S.

Occupation

Employer

Are you in regular contact?

Date of last contact

Parent 2 Name

Telephone

Home Address

City, State

Years in U.S.

Occupation

Employer

Are you in regular contact?

Date of last contact

Guardian’s Name

Telephone

Home Address

City, State

Years in U.S.

Occupation

Employer

Are you in regular contact with them?

Date of last contact

Sibling(s) Name(s) and Age(s):

Parents’ / Legal Guardian’s $ annual income (combined)

Annual $ financial support they are able to provide to you (if any):

School Information Edit

High School Name

City

State

GPA

Attached Transcript

Sat Scores

Verbal

Math

Sports, clubs, other extra-curricular activities, honors and/or unique accomplishments

ub, Winner of Young Film Director's California Festival 2019.

Graduation date

Employment (part-time and/or summers, last 3 years)

Current college/university Name

City

State

GPA

Approximate Graduation date

Attached Transcript

Target college/university Name

City

State

Likely Major

Financial assistance will be provided by the institution

How much are you and your family able to contribute?

How much is the gap?

Essay Questions Edit

Why should KMF award you this scholarship? What is unique and/or special about your achievements and/or circumstances?

What two accomplishments are you most proud of?

Provide two example of significant mistakes you have made and what you learned from each one.

On a scale of 1-100 with 100 being the highest, how would you rate your level of determination to succeed? Provide one or two examples of situations in which you showed resilience after failing at something.

Application for Ninja Warrior Scholarship Program

Application for Ninja Warrior
Scholarship Program