United2Prevent
Scholarship Application

Deadline - April 14, 2026

Getting to Know You

Your First Name

Your Last Name

Your Age

Your Date of Birth

Your Email

Your Phone Number

Your Home Address

Mother or Guardian First and Last Name

Father or Guardian First and Last Name

Academics

High School Attended

Cumulative GPA

SAT or ACT Scores

Select one

SAT

ACT

Written

Verbal

Math

Total

Copy of SAT or ACT scores may be attached if available

College, University, or Technical School you plan to attend

Copy of acceptance letter may be attached if available

Intended Major or Field of Study

Financial Status

List any college scholarships you have received or anticipate receiving

Year, Scholarship Name, Value

Briefly describe any employment you have had during the past year or anticipate during the summer

Achievements in High School and Other Activities

Offices Held (clubs, teams, organizations)

Honors or Awards Received in School

Summarize other interests and activities indicating major responsibilities, leadership roles, honors, or recognition

Essay

Personal Essay (Required)

Please respond to the following prompt in 500–1,000 words:

What experience in your life has most shaped how you view mental health, compassion, or supporting others?

You may share a personal story, challenge, or moment that influenced your understanding of how important it is for people to feel supported, valued, and connected.

Upload word document or pdf

Mental Health in Action Essay (Required)

Please respond to the following prompt in 200-300 words:

If you could start one initiative to promote mental health or suicide prevention among young people, what would it be and why?

Describe the idea, the impact it could have, and how it might help others feel more supported or less alone.

Upload word document or pdf

Letter of Recommendation

Please include one letter of recommendation from a teacher, counselor, coach, youth leader, or community leader who can speak to your character and commitment to helping others. This is required. The letter must be written by a non-relative.

Recommender Name

Title/Relationship to Applicant

Email or Phone Number

Upload word document or pdf

Keep me in the loop about United2Prevent

United2Prevent Scholarship Application

Deadline - April 14, 2026

Getting to Know You

Academics

Financial Status

Achievements in High School and Other Activities

Essay

Letter of Recommendation

United2Prevent
Scholarship Application