Ebeid and McLennan Scholars: This form is due by 11:59pm on Sunday, April 9th, 2023. Which scholarship were you a recipient of?* Account Spark STEM Scholarship McLennan Family Foundation Scholarship-UM Dearborn McLennan Family Foundation Scholarship-Wayne State Ebeid Family Fund Scholarship-Wayne State Ebeid Family Fund Scholarship for Arab American Students at Kettering Ebeid Family Fund Scholarship-UM Dearborn Ebeid Family Fund Scholarship-Kettering Ebeid Family Fund Scholarship-University of Toledo Ebeid Family Fund Scholarship-Michigan Technological University Khalaf Family Fund Scholarship Kayal Scholarship for Arab Americans in Social Sciences Do you want to be considered for a renewal?*You should have received an email notification from someone on the CAAP team if you are eligible. You must have maintained good grades. Renewals are not guaranteed. Yes No Name* First Last Address*Please list where you will reside most of 2022-2023. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email Address* Permanent Email*Please list your preferred/permanent email address. Do not list an .edu address. Gender* Man Woman Non-binary/Non-conforming Prefer not to say Ethnicity* What is your annual household income?* Less than $20,000 $20,000 - $49,000 $50,000 - $74,999 $75,000 - $99,000 $100,000 - $149,000 $150,000 - $249,999 $250,000 - $499,999 $500,000 or more Current college GPA* Date of graduation from your current program?* LinkedIn Profile Link Please enter your profile link or create a profile, so you can be invited to join our networking groups. Do you have any recent accomplishments, honors, or activities that you would like to share?* Yes No Please describe:*Limit your response to no more than 5 sentences.What are your academic or professional plans for summer 2023 and beyond?*Limit your response to no more than 5 sentences.What additional services would you like to see out of CAAP’s scholarship programs?*Examples include Facebook networking groups, conference opportunities, mentorship programs, etc.RenewalWill you be attending the same college or university next school year?* Yes No Name of 2023-2024 academic institution* Student ID number* What degree/major are you pursuing?* Anticipated date of graduation from your current program?* Would you be interested in volunteering your time to mentor current Ebeid scholars in the future? Yes No Maybe AttachmentsPlease upload the following documents in PDF format: Federal Student Aid Report (required), unofficial transcript with most recent grades listed (required), additional materials you would like to share (optional) Federal Student Aid Report*Name the file "LastName_FirstName_SAR"Accepted file types: pdf, Max. file size: 128 MB.Unofficial Transcript*Most recent grades must be uploaded. Name the file "LastName_FirstName_transcript"Accepted file types: pdf, Max. file size: 128 MB.Optional DocumentsExample: Updated Resume/CV Drop files here or Select files Accepted file types: pdf, Max. file size: 128 MB. Confirmation* I confirm that everything I submitted above is true. Δ