Beta Scholarship Application

Use this online form to submit your application electronically. If you should choose to mail in your application and/or include any additional information about yourself, please download and print out the PDF version of the application.

Click here to download the PDF Application.

Remember, the submission deadline for all applications is October 23rd, 2013. We wish the best of luck to all those who apply.

Online Application

Name: *
Email: *
Permanent Address: *
Permanent City: *
Permanent State: *
Permanent Zip Code: *
Dorm Building and Room Number: *
Permanent Phone:
Cell Phone: *
Transfer Student (yes/no): *
Date of Birth: *
High School Class Rank:
High School GPA: *
Collegiate GPA (if known):
Intended Major: *
Current Year in School: *
Honors, Achievements, & Awards: *
Community Service & Extracurricular Activities: *
Other than a great education and preparation for either graduate school or the work force, what is the most important thing you would like to get out of your undergraduate college experience? *
What is the one characteristic of yourself that you value most? Give a brief reason why: *
Who is someone that inspires you the most or that you look up to and why? How has that person affected you up until now? *
What is one moment you are most proud of and why? *

* Incicates a required field.

By submitting this application, you certify that all the information contained herein is truthful and accurate.  Should you wish to amend your application, please submit a modified version by mail or let us know via email at scholarship@hopkinsbeta.org.