First Name *

Last Name *

Email *

Address Line 1 *

Street & building/apt number 

Address Line 2 *

Permanent Mailing Address: City and State 

Postal Code *

Mailing Zip Code: 

Phone *

Phone Number: 

Date of Birth *

Are you a permanent Alaska resident? *

Yes

No

Indicate which year the scholarship is requested for: *

Freshman

Sophomore

Junior

Senior

Masters

Have you received an AGC Scholarship previously? *

If yes, indicate year

Name the high school you attended or graduated from *

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

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

If you have any additional education information you'd like to include please do so here

Confirm name of college or trade training school you want to attend *

Confirm major *

Confirm your student I.D. (if available)

If you do not have you're student ID number, please state. if you do have your student ID number, please include. 

Employment - List related work experiences during the last four years

Not required, only if applicable. 

Career Goals Essay (Only PDFs will be accepted) *

20MB max

Personal Essay *

PDF's only

20MB max

Transcripts (Only PDFs will be accepted) *

20MB max

First Letter of Recommendation (Only PDFs will be accepted) *

Must be written within the last two years.

20MB max

Second Letter of Recommendation (Only PDFs will be accepted) *

Must be written within the last two years. 

20MB max

I certify I plan to return/stay in AK *

Please state YES or NO: 

Yes

No

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

Yes

No