Scholarship application · The Society of Mayflower Descendants in the State of Maryland

About you

First name Last name

Preferred / informal name (optional) Email

Birthdate Current address Apt / suite (optional)

City State ZIP

Home phone (optional) Cell phone

Academics

Current school Current GPA (4.0 scale)

Scholarship institution (college name)

Institution city Institution state

Have you been admitted to the institution above?

Yes Application pending No / other

Notes about your admission status (optional)

Declared or proposed major & expected graduation year

Mayflower lineage Pilgrim ancestor Maryland Mayflower member number

You may upload a lineage chart (PDF / image) below, fill in the generation rows, or do both. Leave the rows blank if your chart covers it.

Lineage chart upload (optional · PDF or image)

2nd generation — son / daughter 2nd generation — spouse

3rd generation — son / daughter 3rd generation — spouse

4th generation — son / daughter 4th generation — spouse

5th generation — son / daughter 5th generation — spouse

6th generation — son / daughter 6th generation — spouse

7th generation — son / daughter 7th generation — spouse

8th generation — son / daughter 8th generation — spouse

9th generation — son / daughter 9th generation — spouse

10th generation — son / daughter 10th generation — spouse

11th generation — son / daughter 11th generation — spouse

12th generation — son / daughter 12th generation — spouse

13th generation — son / daughter 13th generation — spouse

14th generation — son / daughter 14th generation — spouse

15th generation — son / daughter 15th generation — spouse

16th generation — son / daughter 16th generation — spouse

17th generation — son / daughter 17th generation — spouse

18th generation — son / daughter 18th generation — spouse

Short answers

Each response is limited to roughly one page (≈ 6,000 characters).

Explain the following: tell us about you, your family, and your background. What are your educational and career goals, and why? Describe your extracurricular and community-service activities. Anything else the Scholarship Committee should know? (optional)

Detour essay (under 750 words)

Sometimes plans do not work out as expected and detours are needed. Compare an unexpected detour that you experienced with the experience of the Mayflower pilgrims, including your Mayflower ancestor.

Upload (PDF or Word, max 10 MB)

Signature & agreement

By typing your name below and submitting this form you certify that the information provided is accurate to the best of your knowledge. If you are under 18, a parent or guardian must also sign.

Signature of applicant (type your full name) Parent / guardian (required if under 18)

I certify that the information above is accurate and that I have read the eligibility and selection criteria on the scholarship page.

A confirmation email and a password-setup link will be sent to the applicant’s email address.