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The Allison T. Zimmon Memorial Scholarship 2026

If you have trouble with this application, please reach out to us at ATZapplication@gmail.com. You will be required to provide transcripts and proof of community service only if you are selected as a recipient. Application Due: June 12, 2026

Section I. Demographic Information

First and last name

Email address

Phone number

Date of birth

Gender

Gender

Home mailing address

Section II. Eligibility

As of August 2026, will you have a high school diploma or equivalent?

As of August 2026, will you have a high school diploma or equivalent?

Will you be attending an undergraduate or graduate-level college program during the 2026-2027 academic year?

Will you be attending an undergraduate or graduate-level college program during the 2026-2027 academic year?

Have you completed at least 100 hours of verifiable community service within the last four (4) years?

Have you completed at least 100 hours of verifiable community service within the last four (4) years?

If you answered yes to the previous three (3) questions, you are eligible. Please continue.

If you are employed 20 hours per week or more, you may apply with at least 50 hours of community service in the last four (4) years. If you choose this option please select no to the above question and complete the Community Service Waiver, available on our website. You will still be fully eligible.

Section III. Academic Background

High School Attended

Did you graduate?

Did you graduate?

If no, what is your anticipated graduation date?

High school GPA (unweighted)

High school GPA (weighted)

High school extracurriculars

School attending for 2026-2027 school year (include city and state)

Type of program

Type of program

Intended or actual major

Current college GPA (skip if incoming freshman)

College extracurriculars (skip if incoming freshman)

Section IV. Community Service

Name of organization(s) for which you have volunteered in the last 4 years

Type of work/activities completed

Contact person (One name, phone number, and email for EACH organization listed above)

Total number of service hours completed in the last 4 years

Section V. Financial Information

Are you tax-dependent on your parent(s) or legal guardian(s)?

Are you tax-dependent on your parent(s) or legal guardian(s)?

If yes, please enter your household total gross annual income. If no, please enter your personal gross annual income

Are you currently employed?

Are you currently employed?

If employed, list your employer and job title

If employed, state the average number of hours worked per week

If employed, what is your rate of pay (please indicate if hourly or salary)

Any accomplishments or achievements to highlight at work? Optional

Estimated current personal savings: Includes cash, checking accounts, savings accounts, stocks, bonds, or any liquid financial products in applicant’s name

Have you received any other financial aid for the upcoming school year? If no, enter "n/a". If yes, please list all sources and amounts below.

Section VI. Miscellaneous

Veteran status

Veteran status

Are you a first generation college student?

Are you a first generation college student?

Section VII. Essays

We highly recommend drafting your answers in a Word document and then copy/pasting them into the below form, as it can be difficult to edit properly in the submission form.
Essays are blind reviewed by our board members. Please do not include your name in your essays.
Essay 1 of 3: A service-oriented field is a field of work or study that primarily serves to benefit others or give back to the community. The ATZ Foundation has selected popular fields that we consider to be service-oriented (listed below), but there are many others that could qualify.

Examples: Animal/Veterinary Science; Biomedical Science/Pre-Med; Disability/Accessibility Studies; Education; Environmental Science/Studies/Sustainability; Human or Public Services; Humanitarian or Emergency Response; Mental Health Counseling; Nursing; Public Health; Social Entrepreneurship; Social Work; Speech, Language, and Hearing Studies
Please explain in 100 words or less why you believe your chosen or intended field of study is service-oriented
Essay 2 of 3: In about 100-200 words, explain your community service hours. Where did you volunteer? Did you enjoy the experience? What did you learn?
Essay 3 of 3: Tell us about a challenge you have faced at any point in your life. What did you learn from the experience? Write as much or as little as you need to share your story. Recommended 300-500 words.

Section VIII. Letter of Recommendation

Please upload your letter of recommendation.

Section IX. Applicant's E-Signature

By submitting your application, you agree to the following: I affirm that the information provided above is, to the best of my knowledge, true and correct. I understand that knowingly providing false information will result in immediate and permanent disqualification from the ATZ Foundation Scholarship program. I affirm that if I am awarded a scholarship, the funds will only be spent on academic needs. Additionally, I acknowledge that I must provide to ATZ Foundation, a simple written explanation of where the funds were spent no later than April 1, 2027. Failure to do so will result in ineligibility for future financial aid.

I understand that my personal information provided in my application packet will be viewed by various members of the ATZ Foundation throughout the selection process. If I am selected as a scholarship recipient, my personal information (excluding address, DOB, financial information, and contact information) may be shared publicly. I understand that I can request to have specific pieces of my personal information removed from the organization’s website or marketing material at any time.

I affirm that the ATZ Foundation is not responsible for any tax implications that I may incur by accepting a scholarship.

Please E-Sign to acknowledge the above statement

Signature