Bloom Scholarship Award - Info Submission Form

School Information

Name

First Name

Last Name

Your cell-phone number

(###)

###

####

Name of the School or University you will be attending

Address of the School or University you will be attending

Admissions phone number of the School or University you will be attending

(###)

###

####

What date will you be starting your first semester?

MM

DD

YYYY

Student ID #

Your address while you are attending school

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your address during summer break (if different from above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Personal Quote

Please include a note telling us what receiving the Bloom scholarship means to you (In 2-3 sentences).

One last thing - we need a photo of your lovely self!

With your permission, we would love to announce your award on our website including your full name and photo.

Please take 2-3 headshots of yourself (friend or self timer!) and send them to Lindsay@taylorscloset.org using the subject 'Name - Bloom Scholarship Photo' for us to use in announcing the Bloom scholarship awards on our website. PS - if you already have a quality headshot photo you like of yourself, you can send that instead. :)

Tips on taking a good headshot photo:

-Take in front of a white or neutral background

-Make sure there is lots of light, natural light is good too :)

-If you need any tips, head to THIS LINK for headshot examples.

* Please submit school info and headshot photos by Monday, May 1st at midnight. *