• List any family members that will be attending a college/vocational school next year in the space below.
  • List other scholarships, by name and/or donor, for which you are applying or have received.
  • SCHOOL INFORMATION

  • SPORTS and ACTIVITIES

  • In the section below, highlight your achievements both in and out of school. Include varsity sports teams (one year minimum is required) you have played on, club affiliations, academic achievements, leadership positions, community service work or any awards or honors you have received.
  • ATTACHMENTS

  • Drop files here or
  • Also email the attachments to ourthreemoms@gmail.com
    NOTE: Items #1-3 in the ATTACHMENTS section of this application must be mailed to Our Three Moms. This section cannot be completed online. 1. One sealed copy of your high school transcript
    2. Submit a letter of recommendation from a teacher, employer, or other adult that knows you well but is not related to you describing your qualities and why you should be the recipient of this scholarship award.
    3. A typed narrative no longer than one (1) page in length that answers the following questions: - Based on the eligibility requirements for this scholarship, why do you feel you should be the recipient?
    - Share a personal or family challenge that you have had to deal with, or are currently dealing with, in your life.
    - Explain your financial need for this scholarship.
    - Include anything else you would like the review committee to know about you personally.

    CERTIFICATION

    I acknowledge that this is a competitive selection process and that the decision of the Scholarship Committee and the Our Three Moms organization is final.

    I certify that the information provided is complete and accurate to the best of my knowledge and that intentional misrepresentation is cause for disqualification. If asked, I agree to provide proof of the information I have provided. The scholarship committee has my permission to contact my references and/or school officials for additional academic or character reference information.
    If selected to receive a scholarship, I understand that the scholarship must be used during the school year that immediately follows the year of my high school graduation.
    I further understand that if selected as the award recipient, the scholarship amount will be paid to the post secondary school I have identified and that I am not eligible to be reimbursed for any previous tuition expenses. As such, the scholarship award will not be paid directly to me under any circumstances.
  • By typing my name in the designated field above I certify that the information provided is complete and accurate to the best of my knowledge and that any intentional misrepresentation is cause for disqualification.

    SELECTION PROCESS


    Applications and attached materials will be reviewed by the scholarship committee.
    The scholarship committee may choose to interview some or all applicants.
    Recommendation from the committee shall be sufficient evidence of compliance with the donor’s wishes so as to permit the Our Three Moms organization to make the award and distribute funds to the designated institution towards cost of tuition.
    Applications are due on March 30th!
    You may either submit the application online at www.ourthreemoms.org/dev or mail to the following address:
    ATTN: Our Three Moms Scholarship Foundation
    12029 NE 73rd
    St., Kirkland, WA 98033
    Notification letters will be mailed to all applicants by the last week in May.