Emito Foundation

EMITO FOUNDATION Scholarship Form

"*" indicates required fields

The EMITO Foundation Scholarship is open to high school senior level students based in the Greater Houston metropolitan area.


Minimum requirement: You must be enrolled as a 12th grade student for the current school year. Must be based in the Greater Houston metropolitan area. All applicants are required to complete the form below to be considered.


The information provided on this form will be used by the Committee to select recipients for an education scholarship. It is important that you give complete details concerning your educational background, school activities and financial information.


STUDENT INFORMATION

Kindly provide the correct information for the following
Student Name **
Gender **
MM slash DD slash YYYY
Street Address, City, State & Zip Code
Are you an employee at Wazobia African Market? **

SCHOOL INFORMATION

Kindly provide the correct information for the following:

PARENT INFORMATION

Kindly provide the correct information for the following
Parent Name **
Please select your family income range **

ADDITIONAL INFORMATION

Please review the information requested below. All requested information must be submitted at the time of submission. If you have any questions or concerns, please send an email to info@emitofoundation.com
Drop files here or
Accepted file types: pdf, doc, docx, exe, rar, zip, Max. file size: 495 MB.
    Drop files here or
    Accepted file types: pdf, doc, docx, exe, rar, zip, Max. file size: 495 MB.