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One Refugee Scholarship Application

Contact Information

First Name

Middle Name

Last Name

Email Address

Phone Number

Street Address

Apartment Number

City

State

Zip Code

If you selected "other", please enter the state here

Emergency Contact

Emergency Contact Phone Number

T-shirt Size

Personal Information

Birthdate

Enter date in MM/DD/YYYY (for example, enter 02/09/2001 for Feb. 9, 2001)

Gender

Country of Origin

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

Primary Language

If you selected "other" enter name of country of origin here

Were you born in the U.S.?

YesNo

Refugee status?

What year did you arrive in the U.S.?

Are you a U.S. citizen?

YesNoIn ProcessU.S. Born

Have you received your green card?

YesNo

What is your primary form of transportation?

CarBus or Mass Transit

Do you have a drivers license?

YesNo

Do you have other family members in the One Refugee program?

YesNo

How many other family members do you have in the program?

Name of Family Member in Program

Relationship

Name of Family Member in Program

Relationship

Name of Family Member in Program

Relationship

Name of Family Member in Program

Relationship

Name of Family Member in Program

Relationship

Name of Family Member in Program

Relationship

What is your parents' highest education level?

Did you parent(s) complete their degree in the United States?

Number of people in your household living with you

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

YesNo

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

RentingPurchased

Have you spent time in the U.S. foster care system? (this could potentially qualify you for free or reduced housing through one of our partners)

YesNo

Education Information

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

I am currently attending collegeI am a high school senior planning to attend college or I am getting ready to start college (I am not currently a college student)

In what state did you attend high school?

Enter the high school and state or country where you attended

Enter high school name

Enter the state or country

Which Utah or Idaho high school did you attend?

Start typing the high school name here and wait for field to populate...

What year did you graduate from high school or receive your GED?

Did you take the ACT?

YesNoDon't know

What was your ACT score?

Did you take the SAT?

YesNoDon't know

What was your SAT score?

In what state are you attending college/university?

What college or university are you currently attending?

Start typing the name of the college/university you are attending.....

When did you start attending college/university (approximately)?

What is your student ID number?

What field are you currently studying?

If "other", please enter your field of study or major

What is your cumulative GPA?

How many credits have you completed towards graduation?

What is your anticipated college graduation date?

Have you applied for the 2023 - 2024 FAFSA?

YesNo

Have you already completed an internship, research, or practicum?

YesNo

Name of company or organization where you completed your internship, research or practicum

In what state are you attending or did you attend high school?

Enter the high school and state where you attended

Enter high school name

Enter the state

Which Utah high school are you attending (or attended previously)?

Start typing name of high school and wait for field to pre-populate...

Which Idaho high school are you attending (or attended previously)?

Start typing name of high school and wait for field to pre-populate...

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

Have you taken the ACT?

YesNoDon't know

What was your ACT score?

Have you taken the SAT?

YesNoDon't know

What was your SAT score?

What is/was your high school GPA?

In what state are you planning to attend college/university?

What college or university are you planning to attend?

Start typing the name of the college/university you are planning to attend...

What is your second choice of college to attend?

Start typing the name of the college/university you are planning to attend...

When do you plan on starting at this college/university?

What is your student number if known? or enter "don't know" if not known

What are you planning to study?

If "other", please enter your planned field of study or major

Have you applied for the 2023-2024 FAFSA?

YesNo

Employment Information

Are you currently employed?

YesNo

Who is your employer (company)?

What date did you start working for this employer?

Approximately how many hours do you work per week for this employer?

How much are you getting paid per hour?

Do you currently have a second job?

YesNo

Who is your employer (company) for your second job?

What date did you start working for this employer?

Approximately how many hours do you work per week for this employer?

How much are you getting paid per hour?

Have you ever worked before?

YesNo

Who was your most recent past employer?

Enter the name of your most recent employer or N/A if you have never worked

What date did you start working for this past employer?

What date did you stop working for this past employer?

Referral Source

How did you hear about One Refugee?

Name of friend or family member that referred you

Name of One Refugee student that referred you

Tell us how you heard about One Refugee?

Upload Required Documents

1) 1-2 page personal essay (please explain a little about your refugee background and your education and career goals)

2) Most current high school or college transcripts (These can be unofficial transcripts- a screenshot or picture from your phone is acceptable, but must include cumulative GPA and total credits completed)

3) Copy of your photo I.D. (drivers license, state I.D. or school I.D.)

Example of a FAFSA confirmation email.

4) Copy of email indicating that your 2023-2024 FAFSA has been submitted (screenshot or pdf)

If you have any questions contact us at info@onerefugee.org

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Contact Information