Scholarship Application

If you have any questions or concerns about the application, contact Jessica Mullenix, Scholarship Chair, at 319-431-2641. Applications and attachments must be submitted or postmarked by July 1st. Please ensure that you read all the rules and guidelines before submitting an application so that you do not forget any materials and that your full application can be considered.

Want to fill out a paper application and mail it? Download the form here! If you want to submit an online form, please complete the form below.

Name *
Name
Phone Number *
Phone Number
This application requires secondary and post-secondary transcripts. By checking the box below, I agree to send these transcripts to the Scholarship Chair. I understand that without the appropriate transcripts, my application will be considered incomplete and will not be considered. *
Describe your needs for this financial assistance to achieve your scholastic and professional goals. 1-2 paragraphs.
Describe, in detail, the personal activities you participate in to support your Czech heritage, including the length of time spent in each activity, the duties/responsibilities you might have had, and what you learned from these activities. 2-3 paragraphs.
Give a brief overview of your Czech ancestry. Include names of family members, what you know about your family history, and other important family information you would like the Scholarship Committee to know. 1-2 paragraphs.
Provide a biographical statement about yourself and your chosen course of study. Why is your field of study important to you? Why did you choose to study this field? What do you hope to learn from your course of study? 1-2 paragraphs.
Give an overview of the extracurricuricular activities you participate in, both inside and outside of school. Include any special positions you currently hold/have held, any awards you have earned, and other special honors you have achieved from these activities. 3 paragraphs.
This application requires 3 professional references to be included with the application. By checking the box below, I agree to have my references send their letters to the Scholarship Chair. I understand that without these 3 references, my application will be considered incomplete and will not be considered. *
I hereby declare my application is true and complete to the best of my knowledge, and furthermore, I agree to the rules of the Czech Heritage Foundation Scholarship Program. *