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Application Form

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I. General Information

Name
Address
Applying For

Note: The due date for all applications is 10 April 2026

II. Education

III. Organizations and Activities (Please attach an additional sheet)

  • 1. List extracurricular and community activities including volunteer activities.
  • 2. List school club/organization memberships and include offices held.
  • 3. List awards, honors, and prizes received.
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Click or drag a file to this area to upload.

V. Complete the following:

  • a. I have requested that an official copy of my transcript be sent to the NORTHERN VIRGINIA KAPPA ACHIEVEMENT FOUNDATION, INC. P.O. Box 1968, Ashburn, VA 20146-1968
  • b. I have requested three letters of recommendation from the following persons
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Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Checkboxes
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VII. An interview will be required for scholarship finalists. You will be contacted if you are a finalist.

VIII. Failure to submit required materials by application closing date will disqualify you from scholarship consideration.

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