Important Note:
To be considered for merit scholarships, you must apply for admission separately and by the appropriate deadline (admissions.vanderbilt.edu). Please note that the admission deadlines are different from the merit scholarship deadlines.

To be considered for merit scholarships, you must complete this Student Information Form and a separate application for the particular scholarship to which you are applying (Ingram, Cornelius Vanderbilt, Chancellor's). You may apply for one, two, or all three scholarship programs at this time. If you apply for a separate scholarship program(s) at a later date, you must complete this Student Information Form again. Each time you submit a scholarship application, you must include a completed Student Information Form.

Once you have completed your application(s), be certain that you click "Submit Your Scholarship Application" button found on the last page. Within 5 minutes of clicking the submit button, you should receive an e-mail confirmation from our office. If you do not receive confirmation from our office, please contact our office at scholarships@vanderbilt.edu to verify that your application has been received.

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Student Biographical Information

First Name

Middle Name

Last Name

Preferred Name

Date of Birth (MM/DD/YYYY)

Gender

Ethnicity (Optional - No information you provide will be used in a discriminatory manner.)

1. Are you Hispanic/Latino?

If yes, please describe your background.

2. Regardless of your answer to the prior question, please indicate how you identify yourself. (Check one or more and describe your background.)

*Are you enrolled?

If yes, please enter Tribal Enrollment Number.

**If Asian, including Indian subcontinent and Philippines, please describe your background.

***If Black or African American, including Africa and the Caribbean, please describe your background.

****If Native Hawaiian or Other Pacific Islander (Original Peoples), please describe your background.

*****If White, including Middle Eastern, please describe your background.

PERMANENT ADDRESS

Address

City

County

State or Province

Zip Code

Country

Area Code/Phone Number (U.S. & Canada)

International Area Code/Phone Number

E-mail Address (Please use an e-mail address that you can check regularly for the next 12 months.)

HIGH SCHOOL

High School Graduation Year

High School Name

High School City

High School State

SCHOLARSHIP PROGRAM

Check here to indicate the scholarship program(s) to which you are applying at this time:

(Note: If you are applying to more than one scholarship program at this time, you need to submit the Student Information Form only once. If you choose to apply for another scholarship program later, you will need to submit another Student Information Form at that time.)

To be considered for the Carell Family, Fred Russell-Grantland Rice, or Curb Scholarships, please answer the following questions in addition to submitting the Cornelius Vanderbilt Scholarship Application:

The Carell Family Scholarship recognizes the students who balance outstanding academic achievement with part or full-time employment. Have you held a job for at least 6-8 hours per week while in high school?

The Fred Russell-Grantland Rice Sportswriting Scholarship honors two Vanderbilt alumni who achieved great success in the field of sports journalism. Are you interested in pursuing a career in sportswriting?

The Curb Leadership Scholarship recognizes students who place creativity and innovation at the center of their lives and use their talents and leadership to create new possibilities and solve problems in their chosen field. Would you like to be considered for the Curb Scholarship?