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Liberation Scholars Application
Please fill out this entire form to be considered for the Liberation Scholars program at George Fox University. The summer program runs from June 22 - July 3 2025. The application will remain open until all spots are filled. Our team will review the applications and contact you as needed.
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Items with a
*
are required.
Contact Information
Student First Name
Student Last Name
Student Birthdate
Student Birthdate
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Student Email
Student Cell Phone
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Emergency Contact
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Phone Number
Biographical Information
Sex
Sex
Female
Male
I consider myself to be Hispanic/Latino
I consider myself to be Hispanic/Latino
Yes
No
I would use the following racial categories to describe myself (Select all that apply)
I would use the following racial categories to describe myself (Select all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific
White
What languages do you use in your daily life?
What languages do you use in your daily life?
English
Spanish
Other
Academic Info
I am home schooled
What high school do you attend? (Start typing school name then click on desired institution. Including the State will help narrow your search)
CEEB (Non Home School)
GPA (Cumulative)
Will you be a senior next year?
Will you be a senior next year?
Yes
No
What year will you graduate high school?
2027
2028
Reference Information
Please give us the name and contact information of a teacher or counselor who can be a reference for you.
Reference First Name:
Reference Last Name:
Reference Email
Additional Information
If you choose to attend college or university, would you be the first in your family to do so?
If you choose to attend college or university, would you be the first in your family to do so?
Yes
No
Who in your family has attended a four-year college?
T-Shirt Size
XS
S
M
L
XL
XXL
XXXL
How did you hear about Liberation Scholars?
How did you hear about Liberation Scholars?
Radio
Google Search
Website
Friend or Family Member
Teacher or Counselor
George Fox Student
Other
Please indicate:
Essays
Tell us about a social issue you are passionate about. Why are you passionate about it? What are your concerns? How will a college education give you the tools to create change in yourself and others?
Tell us about how you see yourself as a reader. What is a book that has been meaningful to you and why?
Origin
Origin List
Submit
