Scholarship | Persian American Cultural Society

Personal Information

Name*

First

Last

Email*

Phone*

Permanent Address*

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Academic Information

Current School/University Name*

Field of Study / Major*

Current GPA (on a 4.0 scale)*

Expected Graduation Date*

• Are you currently enrolled full-time?

Yes

No

Short Answer Section
Please answer the following (each responseshould be 150–300 words):

1. Why are you applying for this scholarship?

3. How many people live in your household (including yourself)?

4. How many household members currently attending college?

5. Do you receive financial aid or support from any of the following sources? (Check all that apply)

Other(s)

6. Are you currently employed?

Yes (part-time)

Yes (full-time)

No

If yes, approximate number of hours worked per week

Other (please specify)

8. Briefly describe any financial challenges you or your family are currently facing (up to 200 words):*

Document Uploads

Unofficial or Official Transcript (PDF). Max 10 MB *

Resume or CV (Optional, PDF), Max 10 MB *

Consent & Certification

I certify that the information provided in this application is accurate to the best of my knowledge. I understand that providing false information may disqualify me from receiving the scholarship.

Date

Ehteshami Scholarship 2026-27 Form