World Deaf Leadership * Scholarship Program - Gallaudet University

WORLD DEAF LEADERSHIP SCHOLARSHIP PROGRAMAPPLICATION CHECKLIST/COVERFull Legal Name: __________________________________________________________________________(Please indicate as printed Last Name (Family name/Surname) First Name (Given Name) Middle Nameon your birth certificate/passport)Date of Birth: ______/______/_______ Gallaudet ID Number: ____________________________________Month/Day/YearCountry of Birth: __________________________________________________________________________Country of Citizenship ______________________________________________________________________DIRECTIONS: All materials for the WDL application must be submitted at the same time no later thanFebruary 1, and must be in English. Request letters of recommendation and official school documents assoon as possible. Check everything below that is included in this WDL Application Package and remember, DONOT send an incomplete package of materials. Include this completed checklist as the cover for theapplication package. 1. WDL Application. 2. Three letters of recommendation.a. One letter of recommendation from a school official at home or at Gallaudet. This lettershould address the applicant’s academic ability and potential for success earning a collegedegree.b. Two additional letters of recommendation from two different individuals who will addressthe applicant’s service, advocacy, and involvement in the deaf and hard‐of‐hearingcommunities. 3. Description of the project that you will develop (Page 10 of the Application). 4. Transcripts from high school, college, and other academic programs. 5. Signed “Letter of Intent.” 6. Completed Checklist. 7. How did you learn about the WDL scholarship? 8. Photocopy of your national passport (page showing passport number, name, nationality, date ofbirth, place of birth, passport issuing and expiration date).______________________________________________________ 9. Have you applied for admission to Gallaudet University? Yes NoIf your answer is “no,” why not? __________________________________________________WDL Application Page 14