Gateway Scholarship Application Mitchell TechApplicationComplete this form to apply for the Technical Scholarship at Mitchell Technical College."*" indicates required fieldsName* First Last Phone*Email* Preferred Method of Contact*TextCallEmailAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How did you hear about this scholarship opportunity?*Scholarship Submission RequirementsAre you 18 years of age or older?* Yes NoWill you be 18 years of age or older prior to June 2024?* Yes NoDo you know any employees from our company?* Yes NoPlease list their names.Are you legally authorized to work in the United States?* Yes NoWill you now or in the future require sponsorship for employment visa status?* Yes NoWhat, if any, extracurricular activities are you involved in?*What classes have you taken related to a trade or technical field?*Why are you interested in a technical career?*EssayAs part of the application process, you will be required to submit an essay. Once you submit your application you will receive an email that outlines the essay requirements.ReferencesAn appropriate reference for a scholarship application is a well-considered individual who can attest to your character, abilities, achievements, and potential. The reference should provide insight into your qualifications and suitability for the specific scholarship you're applying for. Examples of appropriate references: teacher, counselor, coach, and work supervisor. Please do not list a relative or friend.Reference Name* First Last Position Title*Relationship to Applicant*Email* Business Phone*Mobile PhoneCandidate AcknowledgementPlease review the Candidate Acknowledgement statement below and confirm your acceptance using the displayed checkbox. When you’re done, click the Submit button to complete your application.Consent* I agree to the Candidate AcknowledgementI certify that I have read and understand the applicant instructions included with this application and that the answers given by me to the forgoing questions and statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions, or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application. I understand that this application form is intended for use in evaluating the qualifications for scholarship and that this application is not an offer of scholarship or employment. I authorize past employers, schools, persons, and organizations having relevant information or knowledge representative for its use in deciding whether to offer me a scholarship and specifically waive any required written notification. I hereby release employers, schools, person, and organizations from all liability in responding to inquiries in connection with my application. By clicking “Submit Application” you acknowledge you have read and agree to the foregoing Release Authorization.Show us that you are human to see the submit button**Which letter is missing in A B C D __ F G?*PhoneThis field is for validation purposes and should be left unchanged.