Collegiate Application

For Southern University Students

APPLICATION DEADLINE:  Friday, April 13, 2018  (Applications postmarked after this date will not be considered)

* Should any of the chosen recipients of the scholarship fail to attend Southern University A&M College & University, Baton Rouge, LA the following fall and spring term, or fail to meet the renewing criteria, then the applicant who was judged as an alternate will receive the award if he or she has enrolled with an interest or intent of enrolling in an STEM major (confirmation of Southern University enrollment will be requested prior to funding the award).

TO SUBMIT APPLICATION:

  • Option 1:  Complete the online application on this page.
  • Option 2:  Click the “Josie Dugue’ Lain Scholarship Application- College” link below to download the pdf application.  Complete the application, print and mail with documents defined in the Application Process section.
Collegiate Online Application
Max file size is 134 MB.
Max file size is 134 MB.
Max file size is 134 MB.
Max file size is 134 MB.

Downloadable Application

get_adobe_readerClick the link below to download the application.  Complete the application, print and mail with documents defined in the Application Process section.  The forms and content on this page are available in Adobe Acrobat format (PDF). To view these files you must have the FREE Adobe Acrobat Reader installed on your computer.

Josie Dugue’ Lain Scholarship Application – College

Submit completed application to:

Josie Dugue’ Lain Scholarship Committee

Attention: Reuben & Taira Bell

4300 Michener Rd, Doylestown, PA 18902